DR. EWARD ALLEN GROSSENBACHER


Address: 2565 Nw Lovejoy St, Suite 400, Portland, OR 97210-2996
Phone: 5032284038

DR. EWARD ALLEN GROSSENBACHER (NPI# 1114142593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114142593
Entity Type Individual
Full Name DR. EWARD ALLEN GROSSENBACHER
Credential M.D.
Practice Address 2565 Nw Lovejoy St
Suite 400
Portland
OR 97210-2996
Practice Telephone 5032284038
Practice Fax Number 5032286933
Mailing Telephone 5032284038
Mailing Fax Number 5032286933
Enumeration Date 2007-04-13
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist OR7578 OR Other Service Providers

Office Location

Street Address 2565 NW LOVEJOY ST
SUITE 400
City PORTLAND
State OR
Zip Code 97210-2996

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205838075 Debbie L Miller Dermatology 2565 Nw Lovejoy St, Suite 100, Portland, OR 97210-2846 2005-08-11
1750654323 Kelly Wulf Dermatology 2565 Nw Lovejoy St, Suite 100, Portland, OR 97210-2996 2012-02-13
1922260413 Jill M Moore Dermatology 2565 Nw Lovejoy St, Suite 200, Portland, OR 97210-2996 2008-06-26
1407066806 Amy J Simpson Physician Assistant 2565 Nw Lovejoy St, Suite 200, Portland, OR 97210-2996 2007-05-23
1205818101 Phoebe Rich Specialist 2565 Nw Lovejoy St, Portland, OR 97210-2846 2005-11-16

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NPI Name Taxonomy Address Enumeration
1679109086 Joseph Francolino Massage Therapist 2174 Nw Davis Street, Apartment 105, Portland, OR 97210 2020-03-17
1215574058 Northwest Dbt LLC Psychologist 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 2019-11-27
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1760987234 Meghan Teague Student in an Organized Health Care Education/Training Program Legacy Good Samaritan Medical Center- Gme, 1015 Nw 22nd Ave, Portland, OR 97210 2018-03-27
1205349172 Paul M Storm Acupuncturist 1708 Nw 25th Ave. Apt. #6, Portland, OR 97210 2017-11-14
1740703750 Audra K Berning Massage Therapist 2122 Nw Quimby, Root Whole Body, Portland, OR 97210 2017-07-21
1720539810 Anna-marie Elizabeth Wood Audiologist 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 2016-10-24
1659829836 H&s Pearl, LLC Massage Therapist 25 Nw 23rd Pl, Suite 7, Portland, OR 97210 2016-09-15
1255785796 Cortez Natural Medicine, Inc. Acupuncturist 2230 Nw Pettygove Street, Unit 130, Portland, OR 97210 2016-04-21
1932563616 Vincent Chen Student in an Organized Health Care Education/Training Program 1200 Nw 23rd Avenue, Legacy Clinic Good Samaritan, Portland, OR 97210 2016-04-08
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215536560 Irina A Mcgaughey Specialist 610 Sw Alder St Ste 920, Portland, OR 97205-3610 2020-10-19
1780294181 Cynthia R Mendoza Specialist 2245 Se Powell Blvd, Portland, OR 97202-2143 2020-07-31
1679199335 Alter Image, Inc. Specialist 2340 Se Gladstone St, Portland, OR 97202-2962 2020-06-18
1770044281 Donnissa Smith Specialist 117 Se 129th Ave, Portland, OR 97233-1503 2019-03-27
1588191258 Jason Moore Specialist 522 Ne Thompson St, Portland, OR 97212-3843 2017-05-12
1578097218 Alicia N Keys Specialist 10480 Sw Eastridge St Apt 88, Portland, OR 97225-5047 2017-04-19
1942734736 Mom By Lj Specialist 2906 N Willamette Blvd, Portland, OR 97217-4073 2017-04-18
1659811198 Ricardo H. Medina Specialist 1400 Nw Irving St Apt 709, Portland, OR 97209-2260 2017-03-02
1730626805 Jennifer Frank Specialist 1008 Se 112th Ave, Portland, OR 97216-3516 2017-01-26
1720523012 Andrea Lett Specialist 4627 Ne 30th Ave, Portland, OR 97211-7001 2016-12-22
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Competitor

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City PORTLAND
Zip Code 97210

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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