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Contact Information

TELIA N ANDERSON GRANT, NON CREDENTIAL
12600 SE STARK ST
PORTLAND, OR97233-1058
 Phone: 503-477-8208
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Doula

374J00000X
 

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for TELIA N ANDERSON GRANT · (Female)

NPI Number 1952440364
Status Active
Credentials NON CREDENTIAL
Entity Individual
Enumeration date 02/05/2007
Last updated 07/12/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers Not Available
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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