Organization
OREGON INTERNAL MEDICINE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY SCOTT GRUNWALD D.O. (MANAGER)
(541) 858-7183
Entity
Organization
Contact information
Practice address
2380 W MAIN ST, SUITE, A, MEDFORD, OR 97501-2390
(541) 858-7183
Mailing address
2380 W MAIN ST, SUITE, A, MEDFORD, OR 97501-2390
(541) 858-7183
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
DO22277
OR
Other
Enumeration date
07/15/2010
Last updated
09/18/2015
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