Search › Oregon › 171100000X
Doug Grootveld
NPI 1821316233 · on the registry since 2010 · sole proprietor
Practice
- Address
- 100 Ne 78th Ave
Portland, OR 97213 - Phone
- (971) 219-7250
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-05-10
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