Individual
IAN GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2950 SE STARK ST STE 130, PORTLAND, OR 97214-3082
(503) 421-8009
(503) 967-8328
Mailing address
2950 SE STARK ST STE 130, PORTLAND, OR 97214-3082
(503) 421-8009
(503) 967-8328
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/20/2026
Last updated
07/20/2026
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