Individual
DR. FREDERICK DANIEL GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1130 NW 12TH AVE APT 614, PORTLAND, OR 97209-2860
(503) 505-7227
(503) 564-0739
Mailing address
1130 NW 12TH AVE APT 614, PORTLAND, OR 97209-2860
(503) 505-7227
(503) 564-0739
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY00897
MO
Other
Enumeration date
10/17/2006
Last updated
09/29/2023
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