Individual
DR. GRANT PARKER TIBBETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1304 FAWCETT AVE STE 100, TACOMA, WA 98402-1900
(253) 761-4200
(253) 761-4201
Mailing address
PO BOX 1535, TACOMA, WA 98401-1535
(253) 761-4200
(253) 383-3553
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD175166
OR
2085R0202X
Diagnostic Radiology Physician
Primary
MD60456798
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0335106
L&I-TRA PIERCE COUNTY
WA
01
—
0335194
L&I- TRA KING COUNTY
WA
01
—
0335196
L&I-UNION AVE OPEN MRI
WA
01
—
0394949
L&I-DIAGNOSTIC IMAGING NW
WA
05
—
2036409
—
WA
05
—
500698491
—
OR
Enumeration date
12/08/2005
Last updated
09/03/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us