Individual
TERESA GRYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
5125 SW MACADAM AVE, SUITE 210, PORTLAND, OR 97239-3820
(503) 684-9698
Mailing address
3830 SW NEVADA CT, PORTLAND, OR 97219-1513
(503) 479-5426
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1944
OR
Other
Enumeration date
10/03/2013
Last updated
08/24/2015
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