Individual
CHRISTINA MARIE GRUCELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1510 DIVISION ST STE 280, OREGON CITY, OR 97045-2550
(503) 905-3400
Mailing address
1240 SE 56TH AVE, PORTLAND, OR 97215-2706
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD16083
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025523
—
OR
Enumeration date
07/31/2006
Last updated
07/08/2007
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