Individual
BRIANNE C GROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2250 NW FLANDERS ST, SUITE GARDEN 01, PORTLAND, OR 97210-3443
(503) 224-1947
Mailing address
2250 NW FLANDERS ST, SUITE GARDEN 01, PORTLAND, OR 97210-3443
(503) 224-1947
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5221
OR
225100000X
Physical Therapist
PT00010689
WA
Other
Enumeration date
09/19/2007
Last updated
12/06/2007
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