Godbey, Grant Tyrone
Godbey, Grant Tyrone is an sole proprietor health care provider with primary practice located at 722 Ne 162Nd Ave , Portland OR 97230-5760. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Godbey, Grant Tyrone can be contacted via phone (503) 255-4205.Contact Information
Primary practice address
722 Ne 162Nd Ave
Portland OR 97230-5760
Phone: (503) 255-4205
Fax: (503) 255-5095
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | MD15659 | Oregon |
Profile Details
| NPI number | 1902936594 |
|---|---|
| LBN Legal business name | Godbey, Grant Tyrone |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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