KEVIN J GRAINGER MD

PROVIDENCE HEALTH AND SERVICES OREGON

Dr KEVIN J GRAINGER MD is a male medical professional, specializing in Family Medicine. He graduated in 2001.

Contact

PROVIDENCE HEALTH AND SERVICES OREGON

16180 SE SUNNYSIDE RD
102 PROV MED GR HAP VALL
HAPPY VALLEY
OR
970156379

Tel: 5035824900

KEVIN J GRAINGER MD Information

Npi 1194889808
Pac Id 1456301688
Professional Enrollment Id I20070119000033
Last Name GRAINGER
First Name KEVIN
Middle Name J
Suffix
Gender M
Credential MD
Medical School Name OTHER
Graduation Year 2001
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PROVIDENCE HEALTH AND SERVICES OREGON
Group Practice Pac Id 0648183608
Number Of Group Practice Members 1139
Line 1 Street Address 16180 SE SUNNYSIDE RD
Line 2 Street Address 102 PROV MED GR HAP VALL
Marker Of Address Line 2 Suppression
City HAPPY VALLEY
State OR
Zip Code 970156379
Phone Number 5035824900
Hospital Affiliation Ccn 1 380082
Hospital Affiliation Lbn 1 PROVIDENCE MILWAUKIE HOSPITAL
Hospital Affiliation Ccn 2 380061
Hospital Affiliation Lbn 2 PROVIDENCE PORTLAND MEDICAL CENTER
Hospital Affiliation Ccn 3 380038
Hospital Affiliation Lbn 3 PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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