Individual
GRACE T UM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
901 BOREN AVE STE 1650, SEATTLE, WA 98104-3508
(206) 215-6221
(206) 215-6340
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD61295418
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2045867
—
WA
Enumeration date
03/27/2015
Last updated
11/30/2022
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