Individual
GRACE WALDOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
545 SW CAMPUS DR, PORTLAND, OR 97239-3130
(503) 494-8386
Mailing address
545 SW CAMPUS DR, PORTLAND, OR 97239-3130
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GCP-P-10247906
OR
Other
Enumeration date
06/18/2024
Last updated
09/26/2024
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