Organization
PORTAGE BAY CLINIC
Active
Other names
Portage Bay Psychotherapy Clinic, Jeffrey Arthur Grant
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY GRANT PHD (OWNER/PRACTITIONER)
(206) 890-5040
Entity
Organization
Contact information
Practice address
4500 9TH AVE NE STE 300, SEATTLE, WA 98105-4762
(206) 414-9322
Mailing address
4500 9TH AVE NE STE 300, SEATTLE, WA 98105-4762
(206) 414-9322
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
04/10/2023
Last updated
08/22/2023
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