Individual provider · Type 1 NPI

Carly Grant

Student in an Organized Health Care Education/Training Program · Seattle, WA

NPI number 1265941041 Active

Practice location

600 Broadway Ste 170
Seattle, WA 98122-5332

Call (206) 302-2600 Map

Fax (206) 302-2610

Mailing address

6400 Southcenter Blvd
Tukwila, WA 98188-2547

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1265941041

Carly Grant's National Provider Identifier is 1265941041, issued on Sep 25, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Seattle, WA. The record was last updated on Sep 25, 2017.