GRANT TYRONE GODBEY MD
Individual Provider (NPI-1)
Active
Psychiatry & Neurology, Psychiatry
Provider Information
- NPI Number
1902936594- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 722 NE 162ND AVE, PORTLAND, OR, 972305760
- Phone
- (503) 255-4205
- Fax
- (503) 255-5095
Specialties & Taxonomies
Psychiatry & Neurology, Psychiatry
Primary License: OR #MD15659
Psychiatry & Neurology, Child & Adolescent Psychiatry
License: OR #MD15659