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NPI Code Detail

MEDICARE: BRANT GRANGER

MEDICARE: BRANT GRANGER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianDO188933OR
2207Q00000XFamily Medicine PhysicianOP60769980WA

General Provider Information

NPI Number : 1467834150
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRANT GRANGER
Provider Business Mailing Address
First Line : 500 NE MULTNOMAH ST STE 100
Second Line :
City : PORTLAND
State : OR
Zip : 97232-2031
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3175 NE ALOCLEK DR
Second Line :
City : HILLSBORO
State : OR
Zip : 97124-7135
Country : US
Telephone Number : 800-813-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2015
Last Update Date : 02/04/2026

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1841342730 — I. SCOTT STRONGIN M.D.
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Directions to “ BRANT GRANGER ” Practice Location

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