Individual
ANNA GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5350 TALLMAN AVE NW STE 520, SEATTLE, WA 98107-5910
(206) 215-1770
(206) 215-1771
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61252446
WA
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2204031
—
WA
Enumeration date
06/10/2017
Last updated
02/10/2026
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