Individual
DOUGLAS CHESTER GRUZD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 NE ELM, PRINEVILLE, OR 97754
(541) 447-6254
(541) 447-2511
Mailing address
505 S 336TH ST, SUITE 600, FEDERAL WAY, WA 98003-6328
(253) 838-6180
(253) 838-6418
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD24514
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227046
—
OR
Enumeration date
06/23/2006
Last updated
04/16/2020
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