Individual
DR. GRANT HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
PSYD
Contact information
Practice address
2870 NE HOGAN DR., STE. E, #140, GRESHAM, OR 97030-5164
(503) 610-3615
(971) 293-2301
Mailing address
2870 NE HOGAN DR, STE. E, #140, GRESHAM, OR 97030-1365
(503) 610-3615
(971) 293-2301
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2789
OR
Other
Enumeration date
08/26/2014
Last updated
07/13/2024
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