Provider Demographics
NPI:1639265556
Name:GRIGGS, KRISTEN SARA (OD)
Entity Type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:SARA
Last Name:GRIGGS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:9026 MERIDIAN PL N
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-4153
Mailing Address - Country:US
Mailing Address - Phone:206-764-2020
Mailing Address - Fax:206-764-2477
Practice Address - Street 1:1660 S COLUMBIAN WAY
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-1532
Practice Address - Country:US
Practice Address - Phone:206-764-2020
Practice Address - Fax:206-764-2477
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WA3503152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA3503TOtherSTATE LICENSE NUMBER