Individual
JESSICA GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6125 SW BOUNDARY ST, PORTLAND, OR 97221-1019
(503) 535-4337
Mailing address
6125 SW BOUNDARY ST, PORTLAND, OR 97221-1019
(503) 535-4337
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5789
OR
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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