Organization
PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY
Active
Other names
VMC Washington Neuroscience Institute-Psych
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNINE GRINNELL (VICE PRESIDENT, FINANCE)
(425) 228-3440
Entity
Organization
Contact information
Practice address
3915 TALBOT RD S, STE 104, RENTON, WA 98055-5738
(425) 656-5566
(425) 656-5567
Mailing address
PO BOX 34876, SEATTLE, WA 98124-1876
(425) 656-5412
(425) 656-4096
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
H-155
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7136310
—
WA
Enumeration date
10/26/2009
Last updated
10/26/2009
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