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Organization
GRANT T DAWSON DC PC
Active
Organization
GRANT T DAWSON DC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRANT T DAWSON D.C. (OWNER)
(503) 620-6480
Entity
Organization
Contact information
Practice address
19767 SW 72ND AVE, SUITE 103, TUALATIN, OR 97062-8354
(503) 620-6480
Mailing address
19767 SW 72ND AVE, SUITE 103, TUALATIN, OR 97062-8354
(503) 620-6480
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1240
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000297001
BLUE CROSS BLUE SHIELD
OR
Enumeration date
05/22/2008
Last updated
12/09/2008
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