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Individual
GRACE HERCL
Active
Individual
GRACE HERCL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OP60046454
WA
208M00000X
Hospitalist Physician
Primary
DO161956
OR
208M00000X
Hospitalist Physician
OP60046454
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025904
KRMC L&I GROUP NUMBER
WA
05
—
1376640011
—
WA
Enumeration date
09/17/2006
Last updated
12/16/2025
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