NPI 1104570662

Patricia Irene Grimes

Practitioner Assistant Behavior Analyst Clackamas, OR

Practice location

Address: 12901 SE 97th Ave STE 180, Clackamas, OR 97015-7903
Phone: (971) 206-6337
Mailing address: 21600 Oxnard St STE 1800, Woodland Hills, CA 91367-7807

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X

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Registry record

NPI: 1104570662
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Feb 2022
Record last updated: 3 Feb 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.