Individual
BRIAN L. GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 7TH AVE FL 21, SEATTLE, WA 98101-1397
(206) 447-3449
(206) 812-6405
Mailing address
1158 17TH AVE E, SEATTLE, WA 98112-3315
(206) 447-3449
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
MD00017737
WA
2084P0800X
Psychiatry Physician
MD00017737
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1888903
—
WA
Enumeration date
04/04/2007
Last updated
04/21/2021
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