Individual
DR. MELANIE JANELLE GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
17130 SW UPPER BOONES FERRY RD, PORTLAND, OR 97224-7004
(503) 952-2100
(503) 624-8732
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
(503) 952-2164
(503) 526-4418
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9316
OR
Other
Enumeration date
03/19/2009
Last updated
06/22/2015
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