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Individual

CALVIN GRIGGS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
142 SE 160TH AVE APT 24, PORTLAND, OR 97233-3558
(503) 841-4393
Mailing address
142 SE 160TH AVE APT 24, PORTLAND, OR 97233-3558
(503) 841-4393

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
320800000X
OR

Other

Enumeration date
02/13/2015
Last updated
02/13/2015
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