Individual
BUFFI MAKANALANI GRUMBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
488 E 11TH AVE # 150A, EUGENE, OR 97401-3601
(541) 505-8180
Mailing address
88072 5TH ST, VENETA, OR 97487-9708
(541) 704-8041
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
08959
OR
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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