Individual
SAVANNAH GROSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
332 NE SAN RAFAEL ST, PORTLAND, OR 97212-3948
(503) 288-2615
Mailing address
332 NE SAN RAFAEL ST, PORTLAND, OR 97212-3948
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
65322
OR
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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