Organization
ANNIE GRUMMEL, LLC
Active
Other names
Ann Grummel Ward, PMHNP
Organization subpart
No
Provider details
NPI number
Authorized official
ANN GRUMMEL WARD PMHNP (PRACTITIONER)
(503) 894-9810
Entity
Organization
Contact information
Practice address
2187 SW MAIN ST STE 101, PORTLAND, OR 97205-1123
(503) 894-9810
Mailing address
758 NW POWHATAN TER, PORTLAND, OR 97210-2731
(503) 706-9791
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/09/2018
Last updated
05/02/2022
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