Individual provider · Type 1 NPI

Vera Grant, PAC

Medical Physician Assistant · Enumclaw, WA

NPI number 1487201018 Active

Practice location

1818 Cole St Fl 1
Enumclaw, WA 98022-3504

Fax (360) 802-5039

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA61114885 (WA)
Medical Physician Assistant Primary 363AM0700XPA61114885 (WA)

Medical Physician Assistant: Definition to come...

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About NPI 1487201018

Vera Grant, PAC's National Provider Identifier is 1487201018, issued on Aug 19, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Enumclaw, WA. The record was last updated on Aug 15, 2024.