Individual
JENNIFER LEE GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2385 NW WESTOVER RD, PORTLAND, OR 97210-3524
(503) 715-7237
(503) 715-0496
Mailing address
2385 NW WESTOVER RD, PORTLAND, OR 97210-3524
(503) 715-7237
(503) 715-0496
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05870
OR
225100000X
Physical Therapist
PT60083922
WA
Other
Enumeration date
04/01/2009
Last updated
04/29/2013
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