Individual
RICHARD GRAYMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
66 CLUB RD STE 300, EUGENE, OR 97401-2463
(541) 393-5983
Mailing address
66 CLUB RD STE 300, EUGENE, OR 97401-2463
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
A15852
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500650666
—
OR
Enumeration date
07/16/2020
Last updated
12/03/2024
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