Individual
DR. GRANT LA BARRE BELOOF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2456 NW NORTHRUP ST, SUITE 1A, PORTLAND, OR 97210-3253
(503) 708-8292
(503) 222-1686
Mailing address
2456 NW NORTHRUP ST, SUITE 1A, PORTLAND, OR 97210-3253
(503) 708-8292
(503) 222-1686
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD162415
OR
Other
Enumeration date
10/27/2011
Last updated
12/17/2014
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