GINGER L DEGRAVELLE

PORTLAND, OR
NPI1205362944
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
(Licence: OR  MD217089)
Additional Taxonomies207R00000X Internal Medicine
(Licence: OR  MD217089)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-05-01
Last Update Date2023-12-19
Business Address
GINGER L DEGRAVELLE MD
10000 SE MAIN ST STE 112
PORTLAND, OR 97216-2441
Phone number: 503-255-3054
Mailing Address
GINGER L DEGRAVELLE MD
10000 SE MAIN ST STE 112
PORTLAND, OR 97216-2441
Phone number: 503-255-3054