Individual provider · Type 1 NPI

Trae Azareah Groshong, LMP

Specialist · Kent, WA

NPI number 1366879272 Active

Practice location

417 Ramsay Way, Suite 113
Kent, WA 98032-4502

Call (253) 859-0100 Map

Fax (253) 373-9600

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA60411914 (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

Other specialist providers in Kent

See all in Kent →

About NPI 1366879272

Trae Azareah Groshong, LMP's National Provider Identifier is 1366879272, issued on Oct 9, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Kent, WA. The record was last updated on Oct 9, 2013.