Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | MD60234865 | WA |
N | 2081S0010X | Sports Medicine | MD60234865 | WA |
N | 213ES0000X | Sports Medicine | MD60234865 | WA |
NPI | 1053549618 |
---|---|
Provider Name | Dr. Matthew James Grierson |
First Address | Seattle, WA 98102-7127 |
Second Address | Seattle, WA 98102 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2009 |
Last Update Date | 30/03/2017 |