Search › Oregon › 207RG0100X
Ginger Degravelle, MD
NPI 1205362944 · on the registry since 2017
Practice
- Address
- 10000 Se Main St Ste 112
Portland, OR 97216 - Phone
- (503) 255-3054
- Fax
- (503) 255-7651
- Organisation at this address
- Jmsp Llc
Mpkm, Llc
Bret Gene Ball Llc
Professionl Pharmacy
Kyle Valentine Dmd PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 114
Additional practice sites
- 619 19th St S, Birmingham, AL
Registry record
- Primary taxonomy
- 207RG0100X
207RG0100X
- Also registered as
- 207R00000X
390200000X - Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-12-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon