Provider Demographics
NPI:1083159412
Name:GRANATH, ERIN
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:GRANATH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:ELIZABETH
Other - Last Name:BONHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1350 SE 73RD CT
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123-6035
Mailing Address - Country:US
Mailing Address - Phone:503-307-0488
Mailing Address - Fax:
Practice Address - Street 1:1350 SE 73RD CT
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-6035
Practice Address - Country:US
Practice Address - Phone:503-307-0488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-20
Last Update Date:2016-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator