Individual
MARKUS CHARLES PAUL GROMPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-5516
Mailing address
6545 SW 34TH AVE, PORTLAND, OR 97239-1077
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
MD18061
OR
208000000X
Pediatrics Physician
Primary
MD18061
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049093
—
OR
Enumeration date
07/31/2006
Last updated
12/28/2011
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