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Individual

DR. JASON ALEXANDER GRASSBAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1608 S J ST FL 4, TACOMA, WA 98405-4930
(253) 274-7504
(253) 274-7994
Mailing address
1608 S J ST FL 4, TACOMA, WA 98405-4930
(253) 274-7504
(253) 274-7994

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD60501825
WA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD60501825
WA
208D00000X
General Practice Physician
22965
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2215080
WA
Enumeration date
02/09/2006
Last updated
01/05/2023
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