Individual
TAMARA M. GRIGSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
707 SW GAINES ROAD, MAIL CODE CDRC-P, PORTLAND, OR 97239
(503) 494-6513
(503) 494-1542
Mailing address
707 SW GAINES ROAD, MAIL CODE CDRC-P, PORTLAND, OR 97239
(503) 494-6513
(503) 494-1542
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
38000
CO
Other
Enumeration date
09/28/2005
Last updated
06/25/2013
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