Provider Demographics
NPI:1073518239
Name:GRIFFITH, JAMES S (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:S
Last Name:GRIFFITH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2201 S 19TH ST
Mailing Address - Street 2:STE 205
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-2961
Mailing Address - Country:US
Mailing Address - Phone:253-383-1066
Mailing Address - Fax:253-383-1068
Practice Address - Street 1:2201 S 19TH ST
Practice Address - Street 2:STE 205
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-2961
Practice Address - Country:US
Practice Address - Phone:253-383-1066
Practice Address - Fax:253-383-1068
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-15
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD000171332084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0017272Medicaid
17272OtherSTATE L & I
GH026056001OtherGROUP HEALTH
GR5670OtherREGENCE BS
G001001203Medicare ID - Type Unspecified