Individual
JESSICA LEIGH GRIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
280 S 1ST AVE, MILL CITY, OR 97360-2324
(503) 897-4100
Mailing address
41350 SUNSET WAY SE, STAYTON, OR 97383-9710
(503) 560-2859
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10021457
OR
Other
Enumeration date
01/31/2024
Last updated
08/22/2024
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