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1578584264

NPI Code Detail

MEDICARE: PAUL B GRIGGS MD

MEDICARE: PAUL B GRIGGS MD

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	207W00000X	Ophthalmology Physician	MD00027226	WA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	180034081	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	0039593	OTHER	WA	LABOR & INDUSTRY
4	GR4223	OTHER	WA	BLUE SHIELD
6	US0861587	OTHER	WA	AETNA/USHC SPECIALIST

General Provider Information

NPI Number	:	1578584264
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL B GRIGGS MD

Provider Business Mailing Address
First Line	:	22232 17TH AVE SE STE 308
Second Line	:
City	:	BOTHELL
State	:	WA
Zip	:	98021-7425
Country	:	US
Telephone Number	:	425-296-3837
Fax Number	:	206-215-3870

Provider Business Practice Location Address
First Line	:	332 NE NORTHGATE WAY
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98125-6047
Country	:	US
Telephone Number	:	206-215-3850
Fax Number	:	206-215-3870

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	02/03/2026

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Directions to “ PAUL B GRIGGS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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