Individual
SCOTT M GRUPAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
930 SW ABBEY ST, NEWPORT, OR 97365-4820
(541) 265-2244
(541) 265-2244
Mailing address
PO BOX 2847, CORVALLIS, OR 97339-2847
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
36117312
IL
207P00000X
Emergency Medicine Physician
Primary
DO28619
OR
207Q00000X
Family Medicine Physician
DO28619
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036117312-4
—
IL
Enumeration date
03/05/2007
Last updated
11/09/2020
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