Individual
MS. MARY M GRUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9735 SW SHADY LN, SUITE 100, TIGARD, OR 97223-5481
(503) 639-2800
Mailing address
9735 SW SHADY LN, SUITE 100, TIGARD, OR 97223-5481
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2794
OR
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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