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Individual

DR. KATHY GREWE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1304 MONTELLO AVE, HOOD RIVER, OR 97031-1544
(541) 387-6125
(541) 387-6315
Mailing address
PO BOX 3390, PORTLAND, OR 97208-3390

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD16646
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
012067
OR
Enumeration date
06/16/2005
Last updated
11/22/2016
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