Individual provider · Type 1 NPI

Matthew J. Grisso, PA-C

Medical Physician Assistant · Spokane, WA

NPI number 1699255968 Active

Practice location

4815 N Assembly St
Spokane, WA 99205-6185

Mailing address

4311 11th Ave NE Ste 200
Seattle, WA 98105-6367

Other practice locations

  • 4311 11th Ave NE Ste 200, Seattle, WA 98105-6367 · (206) 616-4001

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Medical Physician Assistant Primary 363AM0700XPA60997312 (WA)

Medical Physician Assistant: Definition to come...

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About NPI 1699255968

Matthew J. Grisso, PA-C's National Provider Identifier is 1699255968, issued on Aug 16, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Spokane, WA. The record was last updated on Oct 4, 2019.