Individual
MICHELLE CARLENE GRUNDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
14803 15TH AVE NE, SHORELINE, WA 98155-7110
(206) 631-8886
Mailing address
14803 15TH AVE NE, SHORELINE, WA 98155-7110
(206) 631-8886
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
CO60842852
WA
Other
Enumeration date
01/07/2026
Last updated
01/07/2026
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