Individual
SIERRA GRUNWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3825 WOLVERINE ST NE, SALEM, OR 97305-1201
(888) 875-7820
Mailing address
34032 CASCARA LN, PHILOMATH, OR 97370-9016
(541) 602-5007
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
10019077
OR
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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