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General NPI Number Information
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NPI Number | 1093512568
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Entity Type | Organization
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Legal Business Name | GRACE ANNE MARTIN PLLC
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Dates
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Enumeration Date | 03/03/2025
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Last Update Date | 06/14/2025
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Provider Practice Location Address
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Address Line | 3417 EVANSTON AVE N STE 419
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City | SEATTLE
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State | WA
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Zip | 98103-8969
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Country | US
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Telephone | 509-670-3819
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Fax |
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Provider Business Mailing Address
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Address Line | 302 E 28TH ST APT A
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City | VANCOUVER
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State | WA
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Zip | 98663-3070
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Country | US
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Telephone | 509-670-3819
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Fax |
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Authorized Official
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Title or Position | ARNP
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Name | DR. GRACE ANNE MARTIN
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Credential | DNP
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Telephone | 206-202-5168
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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