Provider Demographics
NPI:1346960564
Name:GRABOWSKI, JOSEPH BENGSTON (RN)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:BENGSTON
Last Name:GRABOWSKI
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8212 50TH STREET CT W
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY PLACE
Mailing Address - State:WA
Mailing Address - Zip Code:98467-2965
Mailing Address - Country:US
Mailing Address - Phone:253-359-7071
Mailing Address - Fax:
Practice Address - Street 1:316 M.L.K. JR WAY
Practice Address - Street 2:#212
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405
Practice Address - Country:US
Practice Address - Phone:253-383-5777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61244910163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse