Individual
ELISE ROSE GRANATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MPH
Contact information
Practice address
2865 DAGGETT AVE, KLAMATH FALLS, OR 97601-1106
(541) 274-8400
Mailing address
136 N WILLIAMS AVE, KLAMATH FALLS, OR 97601-2742
(650) 823-6910
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA227764
OR
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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