Sally K Gradin
Social Worker, Clinical in Tigard, OR. Individual provider (NPI-1).
NPI number1124409420
StatusActive
Last updated in NPPESOct 11, 2023
Details
- NPI
- 1124409420
- Entity type
- Individual (NPI-1)
- Name
- Sally K Gradin
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 11, 2015
- Certification date
- Jul 17, 2023
- Last updated
- Oct 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | L10213 | OR | Yes |
Practice location
7340 Sw Hunziker StSuite 102
Tigard, OR 97223
Phone 971-425-0821
Mailing address
13500 Sw Pacific Hwy Ste 58-481Tigard, OR 97223-4804
Phone 971-425-0821 · Fax 971-223-0968
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