Individual
KEVIN STEPHEN GRISELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
12705 SE RIVER RD, MILWAUKIE, OR 97222-9799
(503) 654-6581
Mailing address
12705 SE RIVER RD, MILWAUKIE, OR 97222-9799
(503) 654-6581
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61387
OR
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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