Andre D Grisham, MD

NPI #1629042122 in Tigard, Oregon

Provider Information

NPI Number: 1629042122
Entity Type: Individual
Name: Andre D Grisham, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Feb 14, 2006
Last Updated: Jul 21, 2022

Practice Location

Address: 9250 SW HALL BLVD
City: Tigard
State: Oregon
ZIP Code: 97223-6721
Phone: (503) 221-0161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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Organizations

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