Individual
MR. JESSE COY GRIMMETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4230 NE FREMONT ST, PORTLAND, OR 97213-1150
(503) 208-5532
Mailing address
4263 SE BELMONT ST APT B, PORTLAND, OR 97215-1661
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
29412
OR
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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