Individual provider · Type 1 NPI

Eward Allen Grossenbacher, MD

Specialist · Portland, OR

NPI number 1114142593 Active

Practice location

2565 NW Lovejoy St, Suite 400
Portland, OR 97210-2996

Call (503) 228-4038 Map

Fax (503) 228-6933

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XOR7578 (OR)

Specialist: 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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About NPI 1114142593

Eward Allen Grossenbacher, MD's National Provider Identifier is 1114142593, issued on Apr 13, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.