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Individual

SARAH GRANSTRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3201 SE MENLO DR APT 50, VANCOUVER, WA 98683-9275
(503) 504-8888
Mailing address
11035 NE SANDY BLVD, PORTLAND, OR 97220-2553
(503) 504-8888

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
03/11/2022
Last updated
03/11/2022
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