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
Fax: (503) 255-5095
Website:

Health care specialties

SpecialtyCodeLicense #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 17 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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