Individual
MARK LAWRENCE GRIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3377 RIVERBEND DR, SPRINGFIELD, OR 97477-8800
(541) 222-6389
(541) 302-0537
Mailing address
PO BOX 24410, EUGENE, OR 97402-0451
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD28375
OR
208M00000X
Hospitalist Physician
Primary
MD28375
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023466
—
OR
Enumeration date
06/10/2008
Last updated
11/11/2009
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