Individual
DR. LORI LYNN GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
25 NW 23RD PL, SUITE 6, #324, PORTLAND, OR 97210-5580
(360) 574-4795
Mailing address
25 NW 23RD PL, SUITE 6, #324, PORTLAND, OR 97210-5580
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
MD27027
OR
Other
Enumeration date
12/15/2005
Last updated
10/08/2016
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