person
Anna Kathleen Grimm, NP
Family Nurse Practitioner in Portland, Oregon
NPI 1033151139

Anna Kathleen Grimm is a Family Nurse Practitioner based in Portland, OR and is specialized in Family. Anna Kathleen Grimm practices in Portland, OR and has the professional credentials of NP. The NPI Number for Anna Kathleen Grimm is 1033151139 and holds a License No. 33115 (Oregon).

The current practice location address for Anna Kathleen Grimm is 3181 Sw Sam Jackson Park Rd, Portland, OR and can be reached out via phone at 503-494-1303 and via fax at 503-346-8021. You can also correspond with Anna Kathleen Grimm through the mailing address at 3181 SW SAM JACKSON PARK RD, PORTLAND, OR - 97239-3011 (mailing address contact number: 503-494-1303).

Location: 3181 Sw Sam Jackson Park Rd, Portland, OR, 97239-3011
person
Provider Profile Details
NPI Number
1033151139
Provider Name
Anna Kathleen Grimm
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
3181 Sw Sam Jackson Park Rd, Portland, OR, 97239-3011
Phone Number
503-494-1303
Fax Number
503-346-8021
Provider Enumeration Date
06/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3810001991 05 WV
0051782 05 OH
1067391 01 WV WV WORK COMP
institution
Provider Business Practice Location Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3011
Phone Number
503-494-1303
Fax Number
503-346-8021
person
Provider Business Mailing Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3011
Phone Number
503-494-1303
Fax Number
503-346-8021
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
COA.03700-NP (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
33115 (West Virginia)
Definition
Definition to come...
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