Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DENIESE ELAINE JENSEN GRANVILLE, DPM
Active Sole ProprietorDENIESE ELAINE JENSEN GRANVILLE, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in LAKE OSWEGO, Oregon. NPI 1134291438 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · LAKE OSWEGO, OR
Registration Details
- NPI Number
- 1134291438
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 14, 2006 (19.720343530776 yrs)
- Last Updated
- Apr 22, 2020
- License
-
DP00223 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
55 S STATE ST STE 3220LAKE OSWEGO, OR, 970343975Browse OR providers · Browse ZIP 97034
- Phone
- 5036357742
- Fax
- 5036358495
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
Other Foot & Ankle Surgery Podiatrist Providers in LAKE OSWEGO, OR
| Name | Credential | NPI |
|---|---|---|
| DR. VIENGKEO T NOIMANY | DPM | 1164487609 |
| MR. MYLES KNUTSON | DPM | 1801266861 |
| MS. TOBEE PAIGE GUNTER | DPM | 1508432790 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.