Individual
DR. NICHOLAS MADDEN GRASVIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
16230 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 97267-4657
(503) 654-9565
(503) 654-0472
Mailing address
16230 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 97267-4657
(503) 654-9565
(503) 654-0472
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8986
OR
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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