Most Relevant Information
Provider Data
| NPI Number: | 1003296344 |
| Provider Name: | ERIKA GRANDJEAN |
| Entity Type: | Individual |
| Taxonomy Code: | 124Q00000X |
| Specialty: | Dental Hygienist |
| License Number: | H6848 |
Most Important Dates
| Enumeration Date: | 06/02/2015 |
| Last Updated: | 06/02/2015 |
Provider Practice Location
732 SW 3RD AVE
202
PORTLAND
OR
972042416
Practice Location Phone/Fax
| Phone: | 5035422580 |
| Fax: |
Provider Mailing Location
732 SW 3RD AVE
202
PORTLAND
OR
972042416
Provider Mailing Phone/Fax
| Phone: | 5035422580 |
| Fax: |