Individual
GRIFFIN NEIL MANSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1619 NW HAWTHORNE AVE STE 201, GRANTS PASS, OR 97526-6009
(541) 507-1881
Mailing address
2885 S LORIEN CT, SALT LAKE CITY, UT 84109-2100
(801) 503-8445
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
PA191109
OR
363A00000X
Physician Assistant
Primary
10995993-1206
UT
Other
Enumeration date
12/16/2018
Last updated
12/03/2022
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