Individual
MR. CHAD MICHAEL GRIEVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTA/L
Contact information
Practice address
5353 COLUMBUS ST SE, ALBANY, OR 97322-7136
(541) 928-5152
Mailing address
4560 SE INTERNATIONAL WAY STE 101, MILWAUKIE, OR 97222-4628
(971) 206-5200
(971) 206-5201
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
298621
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4551952
OREGON DRIVERS LICENSE
OR
Enumeration date
10/19/2015
Last updated
10/19/2015
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