Individual
DR. EWARD ALLEN GROSSENBACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2565 NW LOVEJOY ST, SUITE 400, PORTLAND, OR 97210-2996
(503) 228-4038
(503) 228-6933
Mailing address
2565 NW LOVEJOY ST, SUITE 400, PORTLAND, OR 97210-2996
(503) 228-4038
(503) 228-6933
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OR7578
OR
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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