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General NPI Number Information
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NPI Number | 1205951530
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Entity Type | Individual
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Provider Name | ROBIN YUMIKO GRATTAN MD
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Gender | Female
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 501 SE 172ND AVE
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City | VANCOUVER
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State | WA
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Zip | 98684-9542
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Country | US
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Telephone | 360-882-2778
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Fax | 360-604-1772
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Provider Business Mailing Address
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Address Line | 13898 NE 28TH ST
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City | VANCOUVER
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State | WA
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Zip | 98682-8844
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Country | US
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Telephone | 360-397-3352
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Fax | 360-604-1615
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD28756
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD61273346
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | MD61273346
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License Number State | WA
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