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1205828936
ROXANNE RUYLE GRISWOLD
PORTLAND, OR
NPI
1205828936
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 20005003NP-PP)
Enumeration Date
2005-08-18
Last Update Date
2021-02-12
Business Address
ROXANNE RUYLE GRISWOLD FNP
4805 NE GLISAN ST STE 6N40
PORTLAND, OR 97213-2933
Phone number: 503-215-5696
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Mailing Address
ROXANNE RUYLE GRISWOLD FNP
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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