Individual
OLEN GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
358 NE MARSHALL AVE, BEND, OR 97701-4364
(541) 640-3768
Mailing address
210 NW IRVING AVE STE 101, BEND, OR 97703-2050
(541) 633-4591
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
09/04/2018
Last updated
09/21/2023
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