Individual
ANDREW CHARLES GRABHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
33 NW BROADWAY, PORTLAND, OR 97209-3580
(971) 387-6086
Mailing address
33 NW BROADWAY, PORTLAND, OR 97209-3580
(971) 387-6086
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4426
OR
Other
Enumeration date
07/28/2015
Last updated
04/12/2022
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