Individual
MERIDITH AMANDA GRIEBELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK ROAD, OHSU, PORTLAND, OR 97239
(503) 494-8211
Mailing address
8935 SW CENTER ST, TIGARD, OR 97223-6307
(503) 726-3752
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
MD167607
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/03/2008
Last updated
06/28/2016
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