Individual
MS. ELISE GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MEDICAL LAB TECH
Contact information
Practice address
2452 SW 187TH AVE, BEAVERTON, OR 97006
(971) 227-3783
(503) 649-6503
Mailing address
2452 SW 187TH AVE, BEAVERTON, OR 97006
(971) 227-3783
(503) 649-6503
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
OR
Other
Enumeration date
09/07/2006
Last updated
07/25/2007
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