Individual
DENISE GRAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
295 NE 24TH ST, GRESHAM, OR 97030-2753
(503) 665-7158
Mailing address
1331 NW EASTMAN PKWY, GRESHAM, OR 97030-3896
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
012376
OR
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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