Organization
MASON CO FPD NO 3
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATTI GRAEBER (FIRE CHIEF)
(360) 275-4483
Entity
Organization
Contact information
Practice address
4350 E GRAPEVIEW LOOP RD, GRAPEVIEW, WA 98546
(360) 275-4483
Mailing address
PO BOX 3510, SILVERDALE, WA 98383-3510
(360) 394-7030
(360) 394-7097
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
23D03
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0107070
L&I AND CRIME VICTIMS
WA
05
—
9043365
—
WA
Enumeration date
12/28/2005
Last updated
11/05/2012
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