person
Deniese Elaine Jensen Granville, DPM
Foot & Ankle Surgery Podiatrist in Lake Oswego, Oregon
NPI 1134291438

Deniese Elaine Jensen Granville is a Foot & Ankle Surgery Podiatrist based in Lake Oswego, OR and is specialized in Foot & Ankle Surgery. Deniese Elaine Jensen Granville practices in Lake Oswego, OR and has the professional credentials of DPM. The NPI Number for Deniese Elaine Jensen Granville is 1134291438 and holds a License No. DP00223 (Oregon).

The current practice location address for Deniese Elaine Jensen Granville is 55 S State St Ste 3220, Lake Oswego, OR and can be reached out via phone at 503-635-7742 and via fax at 503-635-8495. You can also correspond with Deniese Elaine Jensen Granville through the mailing address at 55 S STATE ST STE 3220, LAKE OSWEGO, OR - 97034-3975 (mailing address contact number: 503-635-7742).

Location: 55 S State St Ste 3220, Lake Oswego, OR, 97034-3975
person
Provider Profile Details
NPI Number
1134291438
Provider Name
Deniese Elaine Jensen Granville
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
55 S State St Ste 3220, Lake Oswego, OR, 97034-3975
Phone Number
503-635-7742
Fax Number
503-635-8495
Provider Enumeration Date
11/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
038377 05 OR
institution
Provider Business Practice Location Address Details
Address
55 S State St Ste 3220
City
State
Zip
97034-3975
Phone Number
503-635-7742
Fax Number
503-635-8495
person
Provider Business Mailing Address Details
Address
55 S State St Ste 3220
City
State
Zip
97034-3975
Phone Number
503-635-7742
Fax Number
503-635-8495
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
DP00223 (Oregon)
Definition
Definition to come...
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