Provider Demographics
NPI:1538147764
Name:MCGRIFF, FORREST G (ARNP)
Entity type:Individual
Prefix:
First Name:FORREST
Middle Name:G
Last Name:MCGRIFF
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
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Mailing Address - Street 1:14731 AURORA AVE N
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-6547
Mailing Address - Country:US
Mailing Address - Phone:206-365-0220
Mailing Address - Fax:206-365-6436
Practice Address - Street 1:784 14TH AVE
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:WA
Practice Address - Zip Code:98632-2315
Practice Address - Country:US
Practice Address - Phone:360-703-7400
Practice Address - Fax:360-353-3611
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2018-10-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAAP30003894363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAS96550Medicare UPIN