Individual
PAMELA GRIME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1960 THOMPSON DR, SEDRO WOOLLEY, WA 98284-5007
(360) 856-3137
Mailing address
7440 W MARGINAL WAY S, SEATTLE, WA 98108-4141
(360) 856-3186
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CAAR.CG.60717889
DEPT OF HEALTH- HEALTH SYSTEMS QUALITY ASSURANCE
WA
Enumeration date
03/16/2017
Last updated
03/16/2017
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