Individual
KENT MICHAEL GREWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 N GRAHAM ST, STE 545, PORTLAND, OR 97227
(503) 288-5151
(503) 288-4942
Mailing address
501 N GRAHAM ST, STE 545, PORTLAND, OR 97227
(503) 288-5151
(503) 288-4942
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD13969
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001782001
BLUE CROSS BLUE SHIELD
OR
05
—
004197
—
OR
01
—
R00WCJVQA
PTAN
OR
Enumeration date
02/23/2006
Last updated
12/19/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us