Individual
DR. GRACE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD, MS
Contact information
Practice address
2715 WILLETTA ST SW, ALBANY, OR 97321-3471
(208) 392-2272
Mailing address
2930 NE WEST DEVILS LAKE RD STE 2, LINCOLN CITY, OR 97367-5195
(541) 614-0946
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ATI4497
OR
Other
Enumeration date
06/26/2020
Last updated
07/07/2021
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