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NPI Code Detail

MEDICARE: DR. BRYAN VAUGHN GRIGG MD

MEDICARE:  DR. BRYAN VAUGHN GRIGG  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
1207R00000XInternal Medicine PhysicianMD.70012454WA

General Provider Information

NPI Number : 1811690266
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRYAN VAUGHN GRIGG MD
Provider Business Mailing Address
First Line : 700 NE 87TH AVE
Second Line :
City : VANCOUVER
State : WA
Zip : 98664-4896
Country : US
Telephone Number : 360-882-2778
Fax Number : 360-604-1725
Provider Business Practice Location Address
First Line : 700 NE 87TH AVE
Second Line :
City : VANCOUVER
State : WA
Zip : 98664-4896
Country : US
Telephone Number : 360-882-2778
Fax Number : 360-604-1725
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2023
Last Update Date : 06/02/2026

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Directions to “ DR. BRYAN VAUGHN GRIGG MD” Practice Location

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