Grady, Scott P

Grady, Scott P is an individual health care provider with primary practice located at 9135 Sw Barnes Rd Ste 985 , Portland OR 97225-6699. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Grady, Scott P can be contacted via phone (503) 297-3336.

Contact Information

Primary practice address
9135 Sw Barnes Rd Ste 985 Portland OR 97225-6699
Phone: (503) 297-3336
Fax: (503) 297-3338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X MD24137 Oregon

Profile Details

NPI number 1396893897
LBN Legal business name Grady, Scott P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Mar 7th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396893897 NPPES
Oregon MEDICAID 286206

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