Individual
MR. NICHOLAS PETER GRINICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
235 SE NORTON LN STE A, MCMINNVILLE, OR 97128-8479
(503) 472-4688
(503) 474-4731
Mailing address
235 SE NORTON LN STE A, MCMINNVILLE, OR 97128-8479
(503) 472-4688
(503) 474-4731
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
23437
AZ
207W00000X
Ophthalmology Physician
Primary
MD14713
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026562
—
OR
Enumeration date
08/14/2006
Last updated
11/02/2007
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