Name: | Madeleine Suzanne Bullick Grant |
Specialization: | Psychiatric |
Credentials: | PHARMD |
Gender: | Female |
Location: | 3710 Sw Us Veterans Hospital Rd, Portland, Oregon, 97239-2964 |
Phone: | 503-220-8262 |
NPI Number: | 1245953272 |
NPI Enumeration Date: | 23 Sep, 2022 |
NPI Last Update On: | 23 Sep, 2022 |
Specialization | License Number | State | Status | |
Psychiatric | RPH6254 | North Dakota | Primary |
Address: | 1231 Ne Mlk Blvd Apt 523, Portland, Oregon |
Zip: | 97232-2095 |
Phone Number: | 651-212-1706 |
Fax Number: | -- |