Individual
GRANT C SALADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
736 SE 60TH AVE, PORTLAND, OR 97215-1906
(503) 321-0743
Mailing address
6919 SE YAMHILL ST, PORTLAND, OR 97215-2157
(503) 957-2844
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3918
OR
Other
Enumeration date
02/05/2007
Last updated
02/03/2010
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