Individual
GRANT CLEMENT RAWLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
207 SW G ST, GRANTS PASS, OR 97526-2476
(541) 471-1046
(541) 471-1046
Mailing address
207 SW G ST, GRANTS PASS, OR 97526-2476
(541) 471-1046
(541) 471-1046
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0489
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041447
—
OR
Enumeration date
07/08/2006
Last updated
07/09/2007
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