Individual
RAVYN GRANADOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
3455 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-3076
(323) 919-3564
Mailing address
3455 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-3076
(323) 919-3564
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10016341
OR
Other
Enumeration date
10/02/2023
Last updated
10/06/2023
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