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Contact Information

SANDRA A GRASTY
1935 BENCH RD
VALE, OR97918-5317
 Phone: 541-678-3238
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SANDRA A GRASTY · (Female)

NPI Number 1528709680
Status Active
Credentials
Entity Individual
Enumeration date 04/05/2022
Last updated 04/05/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # 475277486
  • OR License # 600210
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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