# JASLEENA GREWAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jasleena Grewal
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790432904
- **Authorized official:** JASLEENA GREWAL (OWNER)
- **Authorized official phone:** (425) 336-4113

## Contact information

- **Practice address:** 634 7TH AVE, KIRKLAND, WA 98033-5665
- **Practice address phone:** (425) 336-4113
- **Practice address fax:** (425) 642-5627
- **Mailing address:** 634 7TH AVE, KIRKLAND, WA 98033-5665
- **Mailing address phone:** (425) 336-4113

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/08/2022
- **Last updated:** 06/23/2022