Individual
RANDI M GRUESSING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
503 AIRPORT RD STE 101, MEDFORD, OR 97504-4159
(541) 200-2900
(541) 200-2948
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 858-8170
(541) 858-8167
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201808063LPN
OR
Other
Enumeration date
11/13/2018
Last updated
08/28/2019
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