Individual
JAKE GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 3RD ST, TILLAMOOK, OR 97141-3402
(503) 842-5546
Mailing address
1100 3RD ST, TILLAMOOK, OR 97141-3402
(503) 842-5546
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
PA213489
OR
Other
Enumeration date
05/23/2020
Last updated
08/13/2025
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