Individual
ROBERT JOHN GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2386 NW HOYT ST, PORTLAND, OR 97210-3219
(503) 228-5909
(503) 226-4186
Mailing address
2386 NW HOYT ST, PORTLAND, OR 97210-3219
(503) 228-5909
(503) 226-4186
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
11129
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018333
—
OR
Enumeration date
12/01/2006
Last updated
07/08/2007
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