Individual
ANTHONY MICHAEL GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
959 SE DIVISION ST STE 520, PORTLAND, OR 97214-4672
(503) 549-4714
(503) 506-0411
Mailing address
PO BOX 90309, PORTLAND, OR 97290-0309
(503) 549-4714
(503) 406-2637
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3909
OR
Other
Enumeration date
04/11/2016
Last updated
08/02/2023
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