# KATANAH GROSSMAN DC, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043514466
- **Authorized official:** DR. KATANAH ROSE GROSSMAN D.C. (CHIROPRACTOR/OWNER)
- **Authorized official phone:** (503) 908-0881

## Contact information

- **Practice address:** 10001 SE SUNNYSIDE RD STE 204, CLACKAMAS, OR 97015-9704
- **Practice address phone:** (503) 908-0881
- **Practice address fax:** (503) 908-0891
- **Mailing address:** 10001 SE SUNNYSIDE RD STE 204, CLACKAMAS, OR 97015-9704
- **Mailing address phone:** (503) 908-0881
- **Mailing address fax:** (503) 908-0891

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 3646 | OR | Yes |

## Other

- **Enumeration date:** 12/28/2010
- **Last updated:** 12/28/2010