Individual
DR. MIRIAM NATALIE GRUNKEMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
335 SE 8TH AVE, HILLSBORO, OR 97123-4246
(503) 681-4359
Mailing address
335 SE 8TH AVE, HILLSBORO, OR 97123-4246
(503) 681-4359
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD23230
OR
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD60598778
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287008
—
OR
Enumeration date
06/10/2008
Last updated
12/17/2015
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