Individual
MS. PAIGE HAMER GRIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5515 PIONEER ST, RIDGEFIELD, WA 98642-3375
(360) 882-2778
(360) 604-1649
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-4896
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60692724
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2055308
—
WA
Enumeration date
02/18/2016
Last updated
09/12/2019
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