Andre D Grisham, MD
Andre D Grisham, MD is a General Surgery in Tigard, Oregon. Graduated from University of Kentucky College of Medicine in 1999, 27 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group and accepts Medicare assignment. Licensed in Oregon, South Carolina and Tennessee.
- Years since qualifying
- 27
- Trained at
- University of Kentucky College of Medicine
- Licensed in
- OR, SC, TN
- In the registry since
- 2006
- Specialties on file
- 3
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
9250 SW Hall BlvdTigard, OR 97223-6721
Phone: (503) 221-0161
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence MD151172 (OR) |
|---|---|
| Surgery Physician | Taxonomy 208600000X · Licence 29462 (SC) |
| Surgery Physician | Taxonomy 208600000X · Licence 38146 (TN) |
Record details
| NPI number | 1629042122 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | February 14, 2006 |
| Last updated in NPPES | July 21, 2022 |
| Certification date | November 6, 2020 |
| Mailing address | 800 Sw 13th Ave, Portland, OR 97205-1902 |
Medicare enrollment
| Medicare specialty | GENERAL SURGERY |
|---|---|
| Medical school | UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE |
| Graduated | 1999 (27 years in practice) |
| Group practice | Providence Health And Services Oregon — 1426 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Tigard
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Dr. Jason Christopher Gilster, MD
7421 SW Bridgeport Rd Ste 215, Tigard, OR 97224-7707 · (971) 297-3007
-
Pacific Northwest Hair Restoration
9735 SW Shady Ln Ste 200, Tigard, OR 97223-5481 · (503) 941-5029