Grisanti, Laurence

Grisanti, Laurence is an sole proprietor health care provider with primary practice located at 522 Sw 5Th Ave Suite 1125, Portland OR 97204-2133. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Nursing Service Providers / Psychiatric/Mental Health, Adult. Nursing Service Providers / Psychiatric/Mental Health is his primary health care specialty. Grisanti, Laurence can be contacted via phone (503) 395-8326.

Contact Information

Primary practice address
522 Sw 5Th Ave Suite 1125 Portland OR 97204-2133
Phone: (503) 395-8326
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 201050181NP Oregon
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 200640886 RN Oregon

Profile Details

NPI number 1376878314
LBN Legal business name Grisanti, Laurence
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 8th, 2009
Last updated Oct 28th, 2016 - about 9 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 1376878314 NPPES
Oregon MEDICAID 123190

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