Individual
AMANDA GRAINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1370 BRIDGE ST, CLARKSTON, WA 99403-2332
(509) 780-2006
Mailing address
1370 BRIDGE ST, CLARKSTON, WA 99403-2332
(509) 780-2006
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN60855090
WA
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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