GRACE E JAZRAWI

PORTLAND, OR
NPI1720213366
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: OR  DO179357)
Additional Taxonomies207R00000X Internal Medicine
(Licence: NJ  25MB09038900)
Enumeration Date2009-05-27
Last Update Date2017-10-11
Business Address
Dr. GRACE E JAZRAWI DO
4212 NE BROADWAY
PORTLAND, OR 97213-1422
Phone number: 503-249-8787
Mailing Address
Dr. GRACE E JAZRAWI DO
PO BOX 416457
BOSTON, MA 02241-6457
Phone number: