Grewe, Kent Michael

Grewe, Kent Michael is an individual health care provider with primary practice located at 501 N Graham St Ste 545, Portland OR 97227. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Grewe, Kent Michael can be contacted via phone (503) 288-5151.

Contact Information

Primary practice address
501 N Graham St Ste 545 Portland OR 97227
Phone: (503) 288-5151
Fax: (503) 288-4942
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X MD13969 Oregon

Profile Details

NPI number 1417922295
LBN Legal business name Grewe, Kent Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Aug 26th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417922295 NPPES
Oregon MEDICAID 004197
Oregon Other R00WCJVQA
Oregon Other 001782001

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