Individual
PAGE GRIFFIN JOSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5100 S MACADAM AVE STE 200, PORTLAND, OR 97239-3827
(971) 202-5500
(971) 202-5555
Mailing address
5100 S MACADAM AVE STE 200, PORTLAND, OR 97239-3827
(971) 202-5500
(971) 202-5555
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD21749
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067463006
REGENCE
OR
05
—
133955
—
OR
01
—
911019392
COMMERCIAL
—
01
—
MO665 12
PACIFIC SOURCE
—
Enumeration date
10/12/2006
Last updated
12/07/2021
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