Individual
KELLY ANNE GRIFFITH-BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
509 OLIVE WAY STE 200&900, SEATTLE, WA 98101-1720
(206) 860-5571
(206) 860-2219
Mailing address
509 OLIVE WAY STE 200&900, SEATTLE, WA 98101-1720
(206) 860-5571
(206) 860-2219
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MD60847731
WA
207R00000X
Internal Medicine Physician
PG158620
OR
Other
Enumeration date
05/30/2012
Last updated
06/28/2018
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