Individual
ROBERT GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
90 B AVE, LAKE OSWEGO, OR 97034-3131
(503) 697-0990
Mailing address
90 B AVE, LAKE OSWEGO, OR 97034-3131
(503) 697-0990
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8751
OR
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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