Organization · Type 2 NPI
Annie Grummel, LLC
Psychiatric/Mental Health Nurse Practitioner · Portland, OR
NPI number
1407321136
Active
Practice location
2187 SW Main St Ste 101
Portland, OR 97205-1123
Mailing address
758 NW Powhatan Ter
Portland, OR 97210-2731
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1407321136
Annie Grummel, LLC's National Provider Identifier is 1407321136, issued on Oct 9, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portland, OR. The record was last updated on May 2, 2022.