Individual
DEBORAH GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1958 SW 27TH ST, REDMOND, OR 97756-7405
(541) 419-5659
Mailing address
1958 SW 27TH ST, REDMOND, OR 97756-7405
(541) 419-5659
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3966
OR
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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