NPI 1134291438

Deniese Elaine Jensen Granville, DPM

Practitioner Foot & Ankle Surgery Podiatrist Lake Oswego, OR

Practice location

Address: 55 S State St STE 3220, Lake Oswego, OR 97034-3975
Phone: (503) 635-7742
Fax: (503) 635-8495

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence DP00223 (OR)

Other Podiatrist providers in Oregon →

Registry record

NPI: 1134291438
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Nov 2006
Record last updated: 22 Apr 2020

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.