Individual
TAYLOR GRANT COLVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4011 TALBOT RD S STE 210, RENTON, WA 98055-5791
(425) 690-3602
(425) 690-9602
Mailing address
4011 TALBOT RD S STE 210, RENTON, WA 98055-5791
(425) 690-3602
(425) 690-9602
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
OP61518044
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2292127
—
WA
Enumeration date
04/11/2019
Last updated
09/24/2024
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