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1497073936
JEFFREY GRIMM
PORTLAND, OR
NPI
1497073936
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: OR 201050059NP)
Enumeration Date
2010-05-07
Last Update Date
2018-04-09
Business Address
Mr. JEFFREY GRIMM NP-c
1741 NW 24TH AVE
PORTLAND, OR 97210
Phone number: 971-770-1655
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Mailing Address
Mr. JEFFREY GRIMM NP-c
1741 NW 24TH AVE
PORTLAND, OR 97210
Phone number: 971-770-1655
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