Provider Demographics
NPI:1639219827
Name:GRINDSTAFF, MICHELE (ND)
Entity Type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:
Last Name:GRINDSTAFF
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19217 36TH AVE W BUILDING 5 STE#106
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036
Mailing Address - Country:US
Mailing Address - Phone:425-582-7678
Mailing Address - Fax:425-582-7032
Practice Address - Street 1:19217 36TH AVE W BUILDING 5 STE#106
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036
Practice Address - Country:US
Practice Address - Phone:425-582-7678
Practice Address - Fax:425-582-7032
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2019-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT1466175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath