Individual
DR. ELLEN DEGRASSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D., BCPS
Contact information
Practice address
403 E MEEKER ST STE 200, KENT, WA 98030-5904
(253) 852-2866
(253) 852-3102
Mailing address
955 POWELL AVE SW, RENTON, WA 98057-2908
(425) 277-1311
(425) 277-1566
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00041217
WA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PH00041217
WA
1835P1200X
Pharmacotherapy Pharmacist
PH00041217
WA
1835P2201X
Ambulatory Care Pharmacist
PH00041217
WA
Other
Enumeration date
08/10/2005
Last updated
03/17/2025
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