MEDICARE: GRACE GRYMES CHAPMAN PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1144589680
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRACE GRYMES CHAPMAN PLLC

Provider Business Mailing Address
First Line	:	5400 CALIFORNIA AVE SW STE F
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98136-1501
Country	:	US
Telephone Number	:	206-937-9722
Fax Number	:

Provider Business Practice Location Address
First Line	:	5400 CALIFORNIA AVE SW STE F
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98136-1501
Country	:	US
Telephone Number	:	206-937-9722
Fax Number	:

Authorized Official
Title or Position	:	ARNP
Name	:	GRACE C GRYMES CHAPMAN
Credential	:	ARNP
Telephone Number	:	206-937-9722

Provider Enumeration Date	:	05/03/2012
Last Update Date	:	05/03/2012

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