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Individual

DR. SCOTT ROBERTS GREWE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
15755 SW SEQUOIA PKWY, SUITE 200, TIGARD, OR 97224-7166
(503) 639-6002
(503) 639-1403
Mailing address
15755 SW SEQUOIA PKWY, SUITE 200, TIGARD, OR 97224-7166
(503) 639-6002
(503) 639-1403

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD16637
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009741
OR
01
1013919919
NPI
OR
Enumeration date
08/11/2005
Last updated
04/07/2015
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