Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | 168109 | AK |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 170561 | MT |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 201807234NP-PP | OR |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | AP30006867 | WA |
N | 363LP2300X | Nurse Practitioner - Primary Care | AP30006867 | WA |
NPI | 1083692206 |
---|---|
Provider Name | Grace C. Grymes Chapman |
First Address | Portland, OR 97208-5188 |
Second Address | Seattle, WA 98126-3852 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2006 |
Last Update Date | 21/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8864106 | (02) | WA |
9649997 | (05) | WA |