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NPI Code Detail

MEDICARE: DR. LINDY SUE GRIFFIN D.O.

MEDICARE:  DR. LINDY SUE GRIFFIN  D.O.
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
1207Q00000XFamily Medicine PhysicianOP00001063WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912906439
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LINDY SUE GRIFFIN D.O.
Provider Business Mailing Address
First Line : 509 OLIVE WAY
Second Line : SUITE 1664
City : SEATTLE
State : WA
Zip : 98101-1729
Country : US
Telephone Number : 206-623-7940
Fax Number :
Provider Business Practice Location Address
First Line : 509 OLIVE WAY
Second Line : SUITE 1664
City : SEATTLE
State : WA
Zip : 98101-1720
Country : US
Telephone Number : 206-623-7940
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2005
Last Update Date : 09/11/2019

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Directions to “ DR. LINDY SUE GRIFFIN D.O.” Practice Location

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