Individual provider · Type 1 NPI
Mark J. Grumbine, C.PED.
Specialist · Everett, WA
NPI number
1194163592
Active
Practice location
2520 Colby Ave, #5
Everett, WA 98201-2990
Mailing address
26127 74th Ave NW
Stanwood, WA 98292-6215
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | CPED3982 (WA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3 other providers at this address
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About NPI 1194163592
Mark J. Grumbine, C.PED.'s National Provider Identifier is 1194163592, issued on Jun 6, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Everett, WA. The record was last updated on Sep 26, 2014.