Grimmell, Faye

Grimmell, Faye is an individual health care provider with primary practice located at 13200 Sw Pacific Hwy , Tigard OR 97223. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Grimmell, Faye can be contacted via phone (503) 598-2000.

Contact Information

Primary practice address
13200 Sw Pacific Hwy Tigard OR 97223
Phone: (503) 598-2000
Fax: (503) 639-0920
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 081001262N3 Oregon

Profile Details

NPI number 1629029921
LBN Legal business name Grimmell, Faye
Credentials ANP/GNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Mar 7th, 2023 - about 3 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 1629029921 NPPES
Oregon MEDICAID 090087

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