Individual
GINA MARIE GRIGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRM
Contact information
Practice address
12612 SE STARK ST, PORTLAND, OR 97233-1058
(971) 328-1246
Mailing address
8124 SE LAKE RD APT 54, MILWAUKIE, OR 97267-2318
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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