Individual
ANGELA MARIE GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 STEWART PARKWAY, ANNEX B, ROSEBURG, OR 97471
(541) 440-3532
(541) 440-3554
Mailing address
272 MEDICAL LOOP, SUITE E, ROSEBURG, OR 97471
(541) 440-3532
(541) 440-3554
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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