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1770525362
SAM E GRUNER
PORTLAND, OR
NPI
1770525362
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: OR MD18027)
Enumeration Date
2006-06-11
Last Update Date
2011-10-17
Business Address
-- SAM E GRUNER MD
1015 NW 22ND AVE STE T-240
PORTLAND, OR 97210-3025
Phone number: 503-413-7127
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Mailing Address
-- SAM E GRUNER MD
PO BOX 3730 DINW#103
PORTLAND, OR 97208-3730
Phone number: 800-878-6698
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