Provider Demographics
NPI:1235266420
Name:GRIFFITH, CINDY LEAH (LMP)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:LEAH
Last Name:GRIFFITH
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8301 JAMES RD SW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:WA
Mailing Address - Zip Code:98579-8606
Mailing Address - Country:US
Mailing Address - Phone:360-480-0545
Mailing Address - Fax:
Practice Address - Street 1:222 KENYON ST NW
Practice Address - Street 2:SUITE 2
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502-4553
Practice Address - Country:US
Practice Address - Phone:360-480-0545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00015247174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist