Individual
COLE N GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2445 NE CUMULUS AVE STE A, MCMINNVILLE, OR 97128-8862
(503) 472-4688
Mailing address
2445 NE CUMULUS AVE STE A, MCMINNVILLE, OR 97128-8862
(503) 472-4688
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD203105
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500793566
—
OR
Enumeration date
04/04/2017
Last updated
12/01/2021
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