Individual
DR. CYNTHIA GRANT CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 17TH AVE, SEATTLE, WA 98122-5711
(206) 320-2492
(206) 320-4073
Mailing address
500 17TH AVE, SEATTLE, WA 98122-5711
(206) 320-2492
(206) 320-4073
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD00020983
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00081
L&I
WA
05
—
1043967
—
WA
Enumeration date
11/02/2006
Last updated
10/18/2011
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