Individual
LORI J GRITTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 7TH ST, CLARKSTON, WA 99403-2005
(509) 758-3341
(509) 769-5067
Mailing address
900 7TH ST, CLARKSTON, WA 99403-2005
(509) 758-3341
(509) 769-5067
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000001
WA STATE LICENSE
WA
Enumeration date
12/19/2011
Last updated
12/19/2011
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