SearchWashington207YX0905X

Jonathan Grant, MD

NPI 1912064577 · on the registry since 2007

Practice

Address
111 S 13th St
Mount Vernon, WA 98274
Phone
(360) 336-2178
Fax
(360) 336-1674
Organisation at this address
Ashley Fedan Llc
Cascade Medical Group Ps Inc
Proliance Surgeons, Inc., P.S.
Proliance Surgeons, Inc., P.S.
Second Generation Anesthesia, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
207YX0905X
207YX0905X
Also registered as
207Y00000X
207Y00000X
2082S0099X
208600000X
2086S0122X
Licence states on file
WI, MA, WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-03-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington