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1912300294
ELISE GRANER
PORTLAND, OR
NPI
1912300294
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2014-10-01
Last Update Date
2015-10-12
Business Address
-- ELISE GRANER QMHP
11035 NE SANDY BLVD
PORTLAND, OR 97220-2553
Phone number: 503-258-4202
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Mailing Address
-- ELISE GRANER QMHP
11035 NE SANDY BLVD
PORTLAND, OR 97220-2553
Phone number: 503-258-4202
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