DOUGLAS REED GROSSNICKLE

PORTLAND, OR
NPI1669418810
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RG0300X Internal Medicine, Geriatric Medicine
(Licence: OR  MD13084)
Enumeration Date2006-06-22
Last Update Date2007-07-08
Business Address
Dr. DOUGLAS REED GROSSNICKLE MD
10373 NE HANCOCK SUITE 219
PORTLAND, OR 97220
Phone number: 503-775-7407
Mailing Address
Dr. DOUGLAS REED GROSSNICKLE MD
10113 SE CLEONE CT
PORTLAND, OR 97266
Phone number: 503-775-7407
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