Individual provider · Type 1 NPI

Michelle Carlene Grunder, SUDPT

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

NPI number 1851258255 Active

Practice location

14803 15th Ave NE
Shoreline, WA 98155-7110

Call (206) 631-8886 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XCO60842852 (WA)

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 1851258255

Michelle Carlene Grunder, SUDPT's National Provider Identifier is 1851258255, issued on Jan 7, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Shoreline, WA. The record was last updated on Jan 7, 2026.