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Individual

GREGORY CLARK SCRIBNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1350 NE 122ND AVE, PORTLAND, OR 97230-2011
(503) 408-7010
(503) 408-7035
Mailing address
PO BOX 92900, PORTLAND, OR 97292-0900
(503) 408-7010

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17116
OR
207R00000X
Internal Medicine Physician
28322
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1122241
WA
Enumeration date
08/01/2006
Last updated
01/22/2015
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