Individual
SANDRA MARIE GROESBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7759 SE 72ND AVE, PORTLAND, OR 97206-7921
(503) 788-4500
Mailing address
7759 SE 72ND AVE, PORTLAND, OR 97206-7921
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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