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Individual

CASSANDRA MARY GRUBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
76 NE 12TH ST, MADRAS, OR 97741-1827
(541) 475-3874
Mailing address
346 SE CARMEN WAY, MADRAS, OR 97741-2211
(425) 770-5678

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA222387
OR

Other

Enumeration date
08/31/2022
Last updated
10/25/2024
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