Individual
GRACE BUONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1321 COLBY AVE, EVERETT, WA 98201-1665
(425) 261-2000
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 366-2983
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
25778
WA
207RC0000X
Cardiovascular Disease Physician
Primary
MD00025778
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016550
—
WA
Enumeration date
04/19/2006
Last updated
02/06/2015
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