Search › Washington › 207YX0905X
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, IncInferred 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