Individual provider · Type 1 NPI

Molly Anne Grant, PA-C

Medical Physician Assistant · Tualatin, OR

NPI number 1720484850 Active

Practice location

19250 SW 90th Ave
Tualatin, OR 97062

Fax (503) 691-2324

Mailing address

541 NE 20th Ave Ste 225
Portland, OR 97232-2895

Other practice locations

  • 879 N Providence Dr, Newberg, OR 97132-7563 · (503) 692-3750

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA170426 (OR)

Medical Physician Assistant: Definition to come...

27 other providers at this address

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About NPI 1720484850

Molly Anne Grant, PA-C's National Provider Identifier is 1720484850, issued on Nov 17, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tualatin, OR. The record was last updated on Dec 23, 2024.