GINGER L DEGRAVELLE MD
Individual Provider (NPI-1)
Active
Internal Medicine, Gastroenterology
Provider Information
- NPI Number
1205362944- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 10000 SE MAIN ST STE 112, PORTLAND, OR, 972162441
- Phone
- (503) 255-3054
- Fax
- (503) 255-7651
Specialties & Taxonomies
Internal Medicine, Gastroenterology
Primary License: OR #MD217089
Internal Medicine
License: OR #MD217089
Student in an Organized Health Care Education/Training Program