Individual
DR. JARED DALE GROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2773 NW 9TH ST, CORVALLIS, OR 97330-3857
(541) 207-0910
(541) 738-2596
Mailing address
2773 NW 9TH ST, CORVALLIS, OR 97330-3857
(541) 207-0910
(541) 738-2596
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD157444
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500648433
—
OR
Enumeration date
05/31/2008
Last updated
04/30/2026
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