Individual
MR. MATTHEW J GRISSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4815 N ASSEMBLY ST, SPOKANE, WA 99205-6185
(509) 434-7000
Mailing address
4311 11TH AVE NE STE 200, SEATTLE, WA 98105-6367
(206) 616-4001
(206) 616-3889
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA60997312
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/16/2018
Last updated
10/04/2019
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