Calvin Griggs

NPI #1447641394 in Portland, Oregon

Provider Information

NPI Number: 1447641394
Entity Type: Individual
Name: Calvin Griggs
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Feb 13, 2015
Last Updated: Feb 13, 2015

Practice Location

Address: 142 SE 160TH AVE APT 24
City: Portland
State: Oregon
ZIP Code: 97233-3558
Phone: (503) 841-4393

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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