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Individual

MONICA LYN GRIPP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, BSN

Contact information

Practice address
1015 NW 22ND AVE, PORTLAND, OR 97210-3099
(503) 413-7268
Mailing address
1015 NW 22ND AVE, PORTLAND, OR 97210-3099

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200940753RN
OR

Other

Enumeration date
06/05/2023
Last updated
06/05/2023
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