Individual
CHERYN LEE GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4550 KRUSE WAY, SUITE 225, LAKE OSWEGO, OR 97035-3594
(503) 296-6661
(503) 296-6661
Mailing address
6663 SW BEAVERTON HILLSDALE HWY, PMB 291, PORTLAND, OR 97225-1403
(503) 296-6661
(503) 296-6661
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
DO12074
OR
2084P0804X
Child & Adolescent Psychiatry Physician
DO12074
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170274
—
OR
Enumeration date
07/27/2006
Last updated
09/11/2025
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