Individual
MICHAEL ALAN GROTTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-1234
Mailing address
16667 NW OAKRIDGE DR, PORTLAND, OR 97229-7373
(503) 645-7789
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OR MD15855
OR
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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