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1467518001
FRED M GROSSMAN
PORTLAND, OR
NPI
1467518001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: OR 956)
Enumeration Date
2006-12-28
Last Update Date
2007-07-08
Business Address
Dr. FRED M GROSSMAN Ph.D.
416 NW 13TH AVE #210
PORTLAND, OR 97209-2931
Phone number: 503-525-4436
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Mailing Address
Dr. FRED M GROSSMAN Ph.D.
416 NW 13TH AVE #210
PORTLAND, OR 97209-2931
Phone number: 503-525-4436
Copy
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