Individual
PETAL GRIFFITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(503) 205-4334
Mailing address
11745 NE MORRIS ST, PORTLAND, OR 97220-1744
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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