DR. Nicholas Madden Grasvik, D.M.D.

NPI #1225220122 in Milwaukie, Oregon

Provider Information

NPI Number: 1225220122
Entity Type: Individual
Name: DR. Nicholas Madden Grasvik, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Aug 14, 2007
Last Updated: Aug 14, 2007

Practice Location

Address: 16230 SE MCLOUGHLIN BLVD
City: Milwaukie
State: Oregon
ZIP Code: 97267-4657
Phone: (503) 654-9565

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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