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Individual

MARINA GROZINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BS

Contact information

Practice address
326 SE MARLIN AVE, WARRENTON, OR 97146-9624
(503) 325-5722
(503) 861-2043
Mailing address
65 N HIGHWAY 101 STE 204, WARRENTON, OR 97146-9371
(503) 325-5722
(503) 861-2043

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
123190
OR
Enumeration date
11/12/2013
Last updated
08/12/2019
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