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1114142593
EWARD ALLEN GROSSENBACHER
PORTLAND, OR
NPI
1114142593
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: OR OR7578)
Enumeration Date
2007-04-13
Last Update Date
2007-07-08
Business Address
DR. EWARD ALLEN GROSSENBACHER M.D.
2565 NW LOVEJOY ST SUITE 400
PORTLAND, OR 97210-2996
Phone number: 503-228-4038
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Mailing Address
DR. EWARD ALLEN GROSSENBACHER M.D.
2565 NW LOVEJOY ST SUITE 400
PORTLAND, OR 97210-2996
Phone number: 503-228-4038
Copy
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