Individual
MS. ERIKA GRANDJEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
732 SW 3RD AVE, 202, PORTLAND, OR 97204-2416
(503) 542-2580
Mailing address
732 SW 3RD AVE, 202, PORTLAND, OR 97204-2416
(503) 542-2580
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6848
OR
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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