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Individual

JUDITH GROOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
14255 SW BRIGADOON CT, BEAVERTON, OR 97005-3369
(971) 246-5240
(971) 246-5199
Mailing address
14255 SW BRIGADOON CT, BEAVERTON, OR 97005-3369
(971) 246-5240
(971) 246-5199

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200942329RN
OR

Other

Enumeration date
06/13/2016
Last updated
06/13/2016
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