NPI Code Detail JSON Logo

1205951530 NPI number — ROBIN YUMIKO GRATTAN MD

NPI Number: 1205951530
Health Care Provider/Practitioner: ROBIN YUMIKO GRATTAN MD

Information about “1205951530” NPI (ROBIN YUMIKO GRATTAN MD) exists in 1205951530 in HTML format HTML  |  1205951530 in plain Text format TXT  |  1205951530 in PDF (Portable Document Format) PDF  |  1205951530 in an XML format XML  formats.

NPI Number : 1205951530 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1205951530",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GRATTAN",
    "FirstName": "ROBIN",
    "MiddleName": "YUMIKO",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "VANCE",
    "OtherFirstName": "ROBIN",
    "OtherMiddleName": "YUMIKO",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "13898 NE 28TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "VANCOUVER",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98682-8844",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "360-397-3352",
    "MailingAddressFaxNumber": "360-604-1615",
    "FirstLinePracticeLocationAddress": "501 SE 172ND AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "VANCOUVER",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98684-9542",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "360-882-2778",
    "PracticeLocationAddressFaxNumber": "360-604-1772",
    "EnumerationDate": "03/19/2007",
    "LastUpdateDate": "02/07/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "MD28756",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "MD61273346",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2083X0100X",
          "TaxonomyName": "Occupational Medicine Physician",
          "LicenseNumber": "MD61273346",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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