Individual
DR. RONALD D GREWENOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, P3GP1, PORTLAND, OR 97239-2964
(503) 721-7897
(503) 721-1410
Mailing address
2338 HILLSIDE LN, LAKE OSWEGO, OR 97034-6777
(503) 721-7897
(503) 721-1410
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G27834
CA
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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