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Individual

CARRIE ANNE GRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-5068
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 598-5068

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
NP11876
CA
363L00000X
Nurse Practitioner
Primary
AP60021490
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
RN535089
CA
Enumeration date
07/24/2006
Last updated
09/09/2008
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