Individual
JAMES GRIMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1926 POTTER ST, EUGENE, OR 97405-3060
(541) 221-9007
(888) 541-9007
Mailing address
1926 POTTER ST, EUGENE, OR 97405-3060
(541) 357-8007
(888) 541-9007
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
19133
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130703
—
OR
Enumeration date
11/16/2006
Last updated
10/30/2009
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