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Search › Oregon › 363A00000X

Antonia Gragg, PA-C

NPI 1356658512 · on the registry since 2010

Practice

Address
3303 Sw Bond Ave
Ch8n
Portland, OR 97239
Phone
(503) 494-4314
Fax
(503) 346-6810
Organisation at this address
University Andrology Lab Llc
University Professional Services
Oregon Health & Science University
Oregon Health & Science University
Oregon Health & Science University
Inferred from a shared address, not stated in the registry.
Clinicians at this address
225

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-07-05

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