Grucella, Christina Marie
Grucella, Christina Marie is an individual health care provider with primary practice located at 1510 Division St Ste 280 , Oregon City OR 97045-2550. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Grucella, Christina Marie can be contacted via phone (503) 905-3400.Contact Information
Primary practice address
1510 Division St Ste 280
Oregon City OR 97045-2550
Phone: (503) 905-3400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD16083 | Oregon |
Profile Details
| NPI number | 1528073020 |
|---|---|
| LBN Legal business name | Grucella, Christina Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528073020 | NPPES |
| Oregon | MEDICAID | 025523 |
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