Individual
KEITH EDWARD GRAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 LANCASTER DR NE, SALEM, OR 97305-1221
(503) 361-5400
Mailing address
2252 WILDWOOD DR SE, SALEM, OR 97306-1001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11144
MT
207R00000X
Internal Medicine Physician
G87852
CA
207R00000X
Internal Medicine Physician
MD019815E
PA
207R00000X
Internal Medicine Physician
Primary
MD26789
OR
Other
Enumeration date
08/14/2006
Last updated
02/17/2011
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