MEDICARE: IRISA MARIE GRIMES OTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	446714	OR

General Provider Information

NPI Number	:	1548854219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IRISA MARIE GRIMES OTD

Provider Business Mailing Address
First Line	:	84 CENTENNIAL LOOP
Second Line	:
City	:	EUGENE
State	:	OR
Zip	:	97401-7909
Country	:	US
Telephone Number	:	541-255-2681
Fax Number	:

Provider Business Practice Location Address
First Line	:	2519 21ST AVE
Second Line	:
City	:	FOREST GROVE
State	:	OR
Zip	:	97116-1738
Country	:	US
Telephone Number	:	908-868-3883
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2021
Last Update Date	:	02/23/2021

Similar Medicare Providers

1053523514 — MR. MICHAEL I GRINBERG R.PH.
Practice Location Address:

892 N WESTERN AVE
LAKE FOREST, IL
60045-1738

Practice Phone: 847-735-1032
Practice Fax:

1154679025 — KIMBERLY RUSESKY
Practice Location Address:

892 N WESTERN AVE
LAKE FOREST, IL
60045-1738

Practice Phone: 847-735-1032
Practice Fax:

1679030985 — OLUWABUKOLA ORIOLOWO
Practice Location Address:

6504 W FOREST RD
LANDOVER, MD
20785-1738

Practice Phone: 202-760-8108
Practice Fax:

1952966137 — MYW STUDIO SPA AND FITNESS LLC
Practice Location Address:

113 FOREST AVE
LOCUST VALLEY, NY
11560-1738

Practice Phone: 516-723-9874
Practice Fax:

1093540064 — NKECHI OKORO NP
Practice Location Address:

1738 PLEASANTVILLE RD
FOREST HILL, MD
21050-2308

Practice Phone: 443-326-3862
Practice Fax:

1295895076 — DR. BROCK LESTER JOHNSON D.C.
Practice Location Address:

12062 VALLEY VIEW ST STE 103
GARDEN GROVE, CA
92845-1738

Practice Phone: 562-912-4225
Practice Fax: 562-912-4225

Directions to “ IRISA MARIE GRIMES OTD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.