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General NPI Number Information
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NPI Number | 1710943303
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Entity Type | Individual
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Provider Name | VIKAS GROVER MD
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Gender | Male
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Dates
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Enumeration Date | 04/24/2006
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 2282 NW NORTHRUP ST RM 41 SUITE 400
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City | PORTLAND
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State | OR
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Zip | 97210-2919
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Country | US
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Telephone | 503-413-5542
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Fax |
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Provider Business Mailing Address
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Address Line | 3377M RIVERBEND DR
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City | SPRINGFIELD
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State | OR
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Zip | 97477-8800
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | A116731
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A116731
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 73190
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | MD158445
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License Number State | OR
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