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1942635131
GRANT M HEADLEY
PORTLAND, OR
NPI
1942635131
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 60952)
Enumeration Date
2013-09-06
Last Update Date
2022-09-30
Business Address
Dr. GRANT M HEADLEY P.T., D.P.T.
1500 SW FIRST AVE STE 150
PORTLAND, OR 97201-5900
Phone number: 503-222-1955
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Mailing Address
Dr. GRANT M HEADLEY P.T., D.P.T.
1500 SW FIRST AVE STE 150
PORTLAND, OR 97201-5900
Phone number: 503-222-1955
Copy
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