Individual
ADRIANA SUSANNA GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
501 N GRAHAM ST STE 445, PORTLAND, OR 97227-2002
(503) 944-6300
(503) 413-4470
Mailing address
1980 SE MORRISON ST APT 406, PORTLAND, OR 97214-2574
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA217811
OR
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/29/2022
Last updated
05/30/2025
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