Individual
GRANT TYRONE GODBEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
722 NE 162ND AVE, PORTLAND, OR 97230-5760
(503) 255-4205
(503) 255-5095
Mailing address
30125 SW OLD WELL RD, WEST LINN, OR 97068-9535
(503) 656-3579
(503) 655-2134
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD15659
OR
2084P0804X
Child & Adolescent Psychiatry Physician
MD15659
OR
Other
Enumeration date
03/06/2007
Last updated
01/08/2026
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