Individual
GRACE MACKENZIE UEBELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-2000
Mailing address
13705 NW BRIDLE LN, PORTLAND, OR 97229-3602
(503) 475-8063
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
60687096
WA
363LP0200X
Pediatric Nurse Practitioner
Primary
AP61054945
WA
Other
Enumeration date
12/10/2019
Last updated
12/07/2020
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