MICHAEL JAMES GRIMES

PORTLAND, OR
NPI1689309007
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR  202210489NP)
Enumeration Date2022-07-19
Last Update Date2022-07-19
Business Address
MICHAEL JAMES GRIMES PMHNP
5263 NE MARTIN LUTHER KING JR BLVD STE B
PORTLAND, OR 97211-3235
Phone number: 312-402-7004
Mailing Address
MICHAEL JAMES GRIMES PMHNP
122 RAINBOW DR # 2282
LIVINGSTON, TX 77399-1022
Phone number: 312-402-7004
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