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General NPI Number Information
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NPI Number | 1225103625
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Entity Type | Individual
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Provider Name | ISAAC RUBEN GRINDELAND MD
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Gender | Male
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 13103 E MANSFIELD AVE
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City | SPOKANE VALLEY
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State | WA
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Zip | 99216-1642
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Country | US
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Telephone | 509-892-2700
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Fax | 509-892-2740
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Provider Business Mailing Address
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Address Line | PO BOX 3405
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City | SPOKANE
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State | WA
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Zip | 99220-3405
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Country | US
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Telephone | 509-892-2700
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Fax | 509-342-2743
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | MEDPHYSLIC117750
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | M-12422
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 8277
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License Number State | AK
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Taxonomy #4
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | MD60414708
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 45956
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License Number State | CO
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Taxonomy #6
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | MD161352
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License Number State | OR
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