Individual
SANDRA LYNNE GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10330 SE 32ND AVE STE 325, MILWAUKIE, OR 97222-6656
(503) 416-1960
Mailing address
7320 SW HUNZIKER RD STE 300, PORTLAND, OR 97223-2302
(503) 941-3033
(503) 747-7013
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500683428
—
OR
Enumeration date
12/10/2007
Last updated
04/20/2020
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