Individual provider Active NPI

Frank M Gruner, FRANK GRUNER

  • Specialist
  • West Linn, OR
National Provider Identifier
1114122124
Registry record updated Aug 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
14092 Issued in OR
Practice address
2008 Willamette Falls Dr Ste 200a
West Linn, OR 97068-4620
Phone
(503) 607-0018
NPI assigned
Jun 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 14092 OR Primary

Addresses

Primary practice location

2008 Willamette Falls Dr Ste 200a
West Linn, OR 97068-4620

Mailing address

2675 Palisades Crest Dr
Lake Oswego, OR 97034-7553
Phone (503) 349-5502

Other names 1

  • Frank M Gruner Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14092ORMDSpecialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186099200000",
    "number": "1114122124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 PALISADES CREST DR",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970347553",
            "telephone_number": "503-349-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 WILLAMETTE FALLS DR STE 200A",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684620",
            "telephone_number": "503-607-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNER",
        "first_name": "FRANK",
        "middle_name": "M",
        "credential": "FRANK GRUNER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "14092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRANK",
            "last_name": "GRUNER",
            "middle_name": "M",
            "credential": "LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in West Linn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.