Individual
SILVIA RAQUEL GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1050 SW 6TH AVE STE 100, PORTLAND, OR 97204-1157
(305) 316-9214
Mailing address
308 NORTON RD, GREENEVILLE, TN 37745-3007
(305) 316-9214
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
202112148NP-PP
OR
363LP2300X
Primary Care Nurse Practitioner
AP10073
AZ
363LP2300X
Primary Care Nurse Practitioner
ARNP9342846
FL
Other
Enumeration date
03/27/2017
Last updated
07/23/2025
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