Individual
MR. GRANT V FREY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11895 SW GREENBURG RD, TIGARD, OR 97223-6450
(503) 726-3696
Mailing address
6111 SW BEAVERTON HILLSDALE HWY, APT 30, PORTLAND, OR 97221-1114
(808) 391-5066
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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