Individual
MR. GRANT MATTHEW MASCOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2727 MLK JR BLVD # 97401, EUGENE, OR 97401-5901
(541) 228-8950
Mailing address
2727 MLK JR BLVD # 97401, EUGENE, OR 97401-5901
(541) 228-8950
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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