Individual
MR. JEFFREY GRIMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
1741 NW 24TH AVE, PORTLAND, OR 97210
(971) 770-1655
(844) 364-2677
Mailing address
1741 NW 24TH AVE, PORTLAND, OR 97210
(971) 770-1655
(844) 364-2677
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
201050059NP
OR
Other
Enumeration date
05/07/2010
Last updated
04/09/2018
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