Individual
KRISTINA GRUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 NW UPAS AVE, REDMOND, OR 97756-1253
(541) 526-6440
Mailing address
145 SE SALMON DR, REDMOND, OR 97756-8427
(541) 923-5437
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201905940RN
OR
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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