Grant V Frey Jr.
Counselor in Tigard, OR. Individual provider (NPI-1).
NPI number1114201563
StatusActive
Last updated in NPPESOct 4, 2011
Details
- NPI
- 1114201563
- Entity type
- Individual (NPI-1)
- Name
- Mr. Grant V Frey Jr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 4, 2011
- Last updated
- Oct 4, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
11895 Sw Greenburg RdTigard, OR 97223-6450
Phone 503-726-3696
Mailing address
6111 Sw Beaverton Hillsdale HwyApt 30
Portland, OR 97221-1114
Phone 808-391-5066
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