Individual
DR. MICHAEL GRISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7105 SW HAMPTON ST, TIGARD, OR 97223-8314
(503) 684-9274
(503) 624-9610
Mailing address
723 NW 22ND AVE, PORTLAND, OR 97210-3204
(503) 224-1251
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8253
OR
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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