Individual
DR. HENRY MARTIN GRASMEDER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
535 NE 6TH AVE, ESTACADA, OR 97023-9312
(503) 630-8550
Mailing address
PO BOX 546, GRESHAM, OR 97030-0132
(971) 373-4165
(503) 630-8551
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD14828
OR
208000000X
Pediatrics Physician
Primary
MD14828
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096511
—
OR
05
—
214155
—
OR
05
—
22959
—
OR
Enumeration date
04/18/2007
Last updated
11/18/2022
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