Individual
GRACE MERCHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 SW COAST HWY STE 102, NEWPORT, OR 97365-5239
(541) 265-4252
Mailing address
1010 SW COAST HWY STE 102, NEWPORT, OR 97365-5239
(541) 265-4252
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
65534
OR
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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