Grant, Cheryn Lee
Grant, Cheryn Lee is an sole proprietor health care provider with primary practice located at 4550 Kruse Way Suite 225, Lake Oswego OR 97035-3594. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Grant, Cheryn Lee can be contacted via phone (503) 296-6661.Contact Information
Primary practice address
4550 Kruse Way Suite 225
Lake Oswego OR 97035-3594
Phone: (503) 296-6661
Fax: (503) 296-6661
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | DO12074 | Oregon |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | DO12074 | Oregon |
Profile Details
| NPI number | 1053335414 |
|---|---|
| LBN Legal business name | Grant, Cheryn Lee |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053335414 | NPPES |
| Oregon | MEDICAID | 170274 |
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