Prof Donna Jensen Graville, PHD, CCC-SLP | |
3181 Sw Sam Jackson Park Rd, Pv01, Portland, OR 97239-3011 | |
(503) 494-3228 | |
(503) 494-4631 |
Full Name | Prof Donna Jensen Graville |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376722082 | NPI | - | NPPES |
10934 | Other | OR | STATE OF OREGON |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 10934 (Oregon) | Primary |
Provider Name | University Professional Services |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013 |
Mailing Address | Practice Location Address |
---|---|
Prof Donna Jensen Graville, PHD, CCC-SLP 3181 Sw Sam Jackson Park Rd, Pv01, Portland, OR 97239-3011 Ph: (503) 494-3228 | Prof Donna Jensen Graville, PHD, CCC-SLP 3181 Sw Sam Jackson Park Rd, Pv01, Portland, OR 97239-3011 Ph: (503) 494-3228 |
Mira E Shah, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2855 Se 61st Avenue, Portland, OR 97206 Phone: 503-348-0931 | |
Ann Sexton, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6801 Se 60th Ave, Portland, OR 97206 Phone: 503-916-2000 | |
Jerae Bjelland, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 501 N Dixon St, Portland, OR 97227 Phone: 503-916-2000 | |
Kit Miranda, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3303 S Bond Ave, Portland, OR 97239 Phone: 503-494-5947 | |
Hearing & Speech Institute Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 Phone: 503-228-6479 Fax: 503-228-4248 | |
Dr. Philip J Levinson, PH.D. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1507 Sw Morrison St, Suite A, Portland, OR 97205 Phone: 503-226-1048 Fax: 503-226-1049 | |
Ms. Brenda Joy Nuckton, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 0270 Sw Palatine Hill Rd, Portland, OR 97219 Phone: 503-236-4940 |