person
Dr. Eward Allen Grossenbacher, MD
Specialist in Portland, Oregon
NPI 1114142593

Eward Allen Grossenbacher is a Specialist based in Portland, OR. Eward Allen Grossenbacher practices in Portland, OR and has the professional credentials of MD. The NPI Number for Eward Allen Grossenbacher is 1114142593 and holds a License No. OR7578 (Oregon).

The current practice location address for Eward Allen Grossenbacher is 2565 Nw Lovejoy St, Portland, OR and can be reached out via phone at 503-228-4038 and via fax at 503-228-6933.

Location: 2565 Nw Lovejoy St, Portland, OR, 97210-2996
person
Provider Profile Details
NPI Number
1114142593
Provider Name
Eward Allen Grossenbacher
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2565 Nw Lovejoy St, Portland, OR, 97210-2996
Phone Number
503-228-4038
Fax Number
503-228-6933
Provider Enumeration Date
04/13/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2565 Nw Lovejoy St
City
State
Zip
97210-2996
Phone Number
503-228-4038
Fax Number
503-228-6933
person
Provider Business Mailing Address Details
Address
2565 Nw Lovejoy St
City
State
Zip
97210-2996
Phone Number
503-228-4038
Fax Number
503-228-6933
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
OR7578 (Oregon)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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