IndividualActive
Cassandra Gruber, PA-C
NPI 1821718693 · Physician Assistant · Madras, OR
Provider details
- NPI number
- 1821718693
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA222387 (OR)
Mailing address
346 Se Carmen Way
Madras, OR 97741-2211
Registry dates
- Enumerated
- 2022-08-31
- Last updated
- 2024-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.