Individual
AMY GRIMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
830 NE 47TH AVE, PORTLAND, OR 97213-2212
(503) 215-2836
Mailing address
830 NE 47TH AVE, PORTLAND, OR 97213-2212
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/02/2016
Last updated
09/02/2016
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