MR. JEFFREY GRIMM


Address: 1741 Nw 24th Ave, Portland, OR 97210
Phone: 9717701655

MR. JEFFREY GRIMM (NPI# 1497073936) 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) 1497073936
Entity Type Individual
Full Name MR. JEFFREY GRIMM
Credential NP-C
Practice Address 1741 Nw 24th Ave
Portland
OR 97210
Practice Telephone 9717701655
Practice Fax Number 8443642677
Mailing Telephone 9717701655
Mailing Fax Number 8443642677
Enumeration Date 2010-05-07
Last Update Date 2018-04-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
201050059NP OR Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1759 Nw 24th Ave, Portland, OR 97210 9717701655 8443642677

Office Location

Street Address 1741 NW 24TH AVE
City PORTLAND
State OR
Zip Code 97210

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1649769480 Dipesh Patel Student in an Organized Health Care Education/Training Program 1200 Nw 23rd Ave. Legacy Clinic Good Samaritan, Portland, OR 97210 2018-05-08
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
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1720539810 Anna-marie Elizabeth Wood Audiologist 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 2016-10-24
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184257115 Joanna Rae Farrell Nurse Practitioner 1650 Ne 32nd Ave Apt 425, Portland, OR 97232-3455 2020-02-18
1497309652 Dorothy Elizabeth Zirkle Nurse Practitioner 66 Bramhall St Ste Gi, Portland, ME 04102-3344 2019-07-26
1023590841 Healthy At Home LLC Nurse Practitioner 3910 Ne 99th Ave, Portland, OR 97220-3620 2018-08-29
1437648946 Stephanie Michele Johnson Nurse Practitioner 3560 Se 79th Ave, Portland, OR 97206-2372 2018-05-09
1801266119 Daniel Dominic Eric Roa Nurse Practitioner 5316 N Greeley Ave, Portland, OR 97217-4113 2015-09-29
1154694941 Donald Upton Nurse Practitioner 6959 N Fenwick Ave, Portland, OR 97217-5305 2012-02-09
1548469869 Ashlyn J Cross Nurse Practitioner Department of Dermatology 3303 Bond Ave., Portland, OR 97239-4501 2007-07-17
1326256959 Mary Thompson Pierce Nurse Practitioner 1750 Nw Naito Parkway, Suite 100, Portland, OR 97209-2533 2007-05-18
1669595237 Shannon Marie Gwartney Nurse Practitioner 808 Sw 15th Ave., Portland, OR 97205 2007-04-09
1669595369 Michael A Mckay Nurse Practitioner 22 Bramball Street- Opd Clinic, Maine Medical Center, Portland, ME 04102 2007-04-09
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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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