IndividualActive
Grace Gavin
NPI 1750039137 · Student in an Organized Health Care Education/Training Program · Portland, OR
Provider details
- NPI number
- 1750039137
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Practice location
3181 Sw Sam Jackson Park Rd
Portland, OR 97239-3098
Phone: (503) 494-8211
Approximate (ZIP-level) locationGet directions
Mailing address
3181 Sw Sam Jackson Park Rd
Portland, OR 97239-3098
Registry dates
- Enumerated
- 2022-03-14
- Last updated
- 2023-03-30
- Certified
- 2023-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.