Individual
JOHN GEORGE GRACE MASSOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-6400
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-6400
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
MF228011
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/05/2022
Last updated
11/11/2025
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