Individual
MS. MARTHA GRANER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
811 NW 20TH AVE, SUITE 103, PORTLAND, OR 97209-1443
(503) 296-0788
(503) 296-0788
Mailing address
7419 NW CORNELL RD, PORTLAND, OR 97229-6901
(503) 296-0788
(503) 296-0788
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2840-LCSW
OR
1041C0700X
Clinical Social Worker
9769-LCSW
CA
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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