-- LISA C GRANT -- M.D.
Individual Provider (NPI-1)
Active
Psychiatry & Neurology, Neurology
Provider Information
- NPI Number
1801805627- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 1615 E 12TH ST SUITE 100, THE DALLES, OR, 970583278
- Phone
- (541) 296-1100
- Fax
- (541) 236-0606
Specialties & Taxonomies
Psychiatry & Neurology, Neurology
Primary License: OR #MD24969