Individual
DR. MEREDITH ELAINE GROVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4212 NE BROADWAY, PORTLAND, OR 97213-1422
(503) 249-8787
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
BP10070694
TX
208000000X
Pediatrics Physician
MD.MD.61422980
WA
208000000X
Pediatrics Physician
Primary
MD224450
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500862330
—
OR
Enumeration date
04/06/2020
Last updated
06/08/2026
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