NPI 1003343682

Leanna Grandi, DA

Practitioner Dental Assistant Portland, OR

Practice location

Address: 10102 NE Glisan St, Portland, OR 97220-4456
Phone: (503) 257-5959

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X

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Registry record

NPI: 1003343682
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 May 2017
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.