Granston, Traci Suzanne

Granston, Traci Suzanne is an individual health care provider with primary practice located at 4011 Talbot Rd S Ste 300 , Renton WA 98055-5791. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is her primary health care specialty. Granston, Traci Suzanne can be contacted via phone (425) 656-5060.

Contact Information

Primary practice address
4011 Talbot Rd S Ste 300 Renton WA 98055-5791
Phone: (425) 656-5060
Fax: (425) 656-5047
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD00039700 Washington
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X MD00039700 Washington

Profile Details

NPI number 1023089075
LBN Legal business name Granston, Traci Suzanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2006
Last updated Jan 5th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023089075 NPPES
Washington MEDICAID 1090604
Washington Other 160279

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