Individual
DR. GRANT PARKER TIBBETTS
Active
Individual
DR. GRANT PARKER TIBBETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
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