Individual
GRANT ADDISON JESSUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT-NPS
Contact information
Practice address
1959 NE PACIFIC ST MAIN HOSPITAL, SEATTLE, WA 98195-0001
(206) 598-9105
Mailing address
1959 NE PACIFIC ST MAIN HOSPITAL, SEATTLE, WA 98195-9819
(206) 598-9105
Taxonomy
Speciality
Code
Description
License number
State
2279P3900X
Neonatal/Pediatric Registered Respiratory Therapist
Primary
LR61310583
WA
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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