Individual
SALLY K GRADIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7340 SW HUNZIKER ST, SUITE 102, TIGARD, OR 97223
(971) 425-0821
Mailing address
13500 SW PACIFIC HWY STE 58-481, TIGARD, OR 97223-4804
(971) 425-0821
(971) 223-0968
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L10213
OR
Other
Enumeration date
06/11/2015
Last updated
10/11/2023
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