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Sam E Gruner, MD
Diagnostic Radiology Physician in Portland, Oregon
NPI 1770525362

Sam E Gruner is a Diagnostic Radiology Physician based in Portland, OR and is specialized in Diagnostic Radiology. Sam E Gruner practices in Portland, OR and has the professional credentials of MD. The NPI Number for Sam E Gruner is 1770525362 and holds a License No. MD18027 (Oregon).

The current practice location address for Sam E Gruner is 1015 Nw 22Nd Ave, Portland, OR and can be reached out via phone at 503-413-7127 and via fax at 503-227-0218.

Location: 1015 Nw 22Nd Ave, Portland, OR, 97208-3730
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Provider Profile Details
NPI Number
1770525362
Provider Name
Sam E Gruner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1015 Nw 22Nd Ave, Portland, OR, 97208-3730
Phone Number
503-413-7127
Fax Number
503-227-0218
Provider Enumeration Date
06/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
051461 05 OR
MD1805R 05 AK
300101075 01 OR RAILROAD MEDICARE
8142721 05 WA
institution
Provider Business Practice Location Address Details
Address
1015 Nw 22Nd Ave
City
State
Zip
97210-3025
Phone Number
503-413-7127
Fax Number
503-227-0218
person
Provider Business Mailing Address Details
Address
1015 Nw 22Nd Ave
City
State
Zip
97210-3025
Phone Number
503-413-7127
Fax Number
503-227-0218
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
MD18027 (Oregon)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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