Individual
GRANT ELLIOTT SANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9942 SW 52ND AVE, PORTLAND, OR 97219-5819
(615) 517-6509
Mailing address
9942 SW 52ND AVE, PORTLAND, OR 97219-5819
(615) 517-6509
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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