Individual
DR. JASON P. GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2460 WILLAMETTE ST, EUGENE, OR 97405-3169
(541) 683-3744
(541) 683-6672
Mailing address
2460 WILLAMETTE ST, EUGENE, OR 97405-3169
(541) 683-3744
(541) 683-6672
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
4301077983
MI
207W00000X
Ophthalmology Physician
Primary
MD153855
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104967123
—
MI
05
—
104983299
—
MI
01
—
180H27019
BCBS OF MICHIGAN
MI
01
—
382155439
COMMERCIAL INSURANCE
MI
05
—
500687131
—
OR
01
—
P00390624
PALMETTO GBA
MI
Enumeration date
09/22/2005
Last updated
12/30/2018
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