Individual
GRANT DONNELL PARTRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.F.T.
Contact information
Practice address
4424 NE GLISAN ST, PORTLAND, OR 97213-2331
(503) 455-4016
Mailing address
PO BOX 17005, PORTLAND, OR 97217-0005
(503) 455-4016
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
53307
CA
106H00000X
Marriage & Family Therapist
LF60771144
WA
106H00000X
Marriage & Family Therapist
Primary
T1137
OR
Other
Enumeration date
12/26/2007
Last updated
06/15/2024
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