NPI 1114122124

Frank M Gruner, FRANKGRUNER

Practitioner Specialist West Linn, OR

Practice location

Address: 2008 Willamette Falls Dr STE 200a, West Linn, OR 97068-4620
Phone: (503) 607-0018
Mailing address: 2675 Palisades Crest Dr, Lake Oswego, OR 97034-7553

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 14092 (OR)

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Registry record

NPI: 1114122124
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jun 2007
Record last updated: 3 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.