# BRIAN L GRANT MD INC PS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861366676
- **Authorized official:** BRIAN LOWELL GRANT MD (MANAGER)
- **Authorized official phone:** (206) 447-3449

## Contact information

- **Practice address:** 1158 17TH AVE E, SEATTLE, WA 98112-3315
- **Practice address phone:** (206) 447-3449
- **Mailing address:** 1158 17TH AVE E, SEATTLE, WA 98112-3315
- **Mailing address phone:** (206) 447-3449

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/03/2025
- **Last updated:** 10/03/2025