Mrs. Tracy Lynn Grindle
Dental Assistant
14406 Ne 20th Ave
Vancouver
, Washington 98686-1448
Mrs. Tracy Lynn Grindle
Dental Assistant
14406 Ne 20th Ave
Vancouver
, Washington 98686-1448
(360) 571-3139
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Mrs. Tracy Lynn Grindle
- 14406 Ne 20th Ave
- Vancouver, WA
- Zip : 98686-1448
- Phone : (360) 571-3139
Second Address
- Mrs. Tracy Lynn Grindle
- 14406 Ne 20th Ave
- Vancouver, WA
- Zip : 98686-1448
- Phone : (360) 571-3139
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant |
National Provider Identifier
| NPI | 1336349810 |
|---|---|
| Provider Name | Mrs. Tracy Lynn Grindle |
| First Address | Vancouver, WA 98686-1448 |
| Second Address | Vancouver, WA 98686-1448 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/07/2007 |
| Last Update Date | 23/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.