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Individual

AMY GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11300 NE HALSEY ST STE 102, PORTLAND, OR 97220-2013
(503) 257-9881
Mailing address
14422 S IRONWOOD RD, OREGON CITY, OR 97045-9116

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7556
OR

Other

Enumeration date
10/25/2006
Last updated
07/08/2007
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