Individual
DR. GRADY G HOLLENBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
17224 SE 272ND ST, STE B, COVINGTON, WA 98042-4953
(425) 260-6428
Mailing address
17224 SE 272ND ST, STE B, COVINGTON, WA 98042-4953
(425) 260-6428
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3223
MN
152W00000X
Optometrist
Primary
3816
WA
152W00000X
Optometrist
710
HI
Other
Enumeration date
12/27/2006
Last updated
09/18/2014
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