Individual
COLLEEN MARIE GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4010 AERIAL WAY, EUGENE, OR 97402-9757
(541) 349-7282
(541) 349-7279
Mailing address
PO BOX 24410, EUGENE, OR 97402-0451
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201050064NP
OR
Other
Enumeration date
12/24/2010
Last updated
01/04/2013
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