Provider Demographics
NPI:1639280894
Name:GRIFFIN, YVONNE (CNM)
Entity Type:Individual
Prefix:
First Name:YVONNE
Middle Name:
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3835
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98124-3835
Mailing Address - Country:US
Mailing Address - Phone:206-548-3114
Mailing Address - Fax:206-762-6355
Practice Address - Street 1:201 16TH AVE E
Practice Address - Street 2:MS: CWB-2
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-5226
Practice Address - Country:US
Practice Address - Phone:206-324-1449
Practice Address - Fax:206-324-6977
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00128324163W00000X
WAAP30006308367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9635392Medicaid
P80693Medicare UPIN
AB35178Medicare ID - Type UnspecifiedMIDWIFERY CLINIC
8850355Medicare ID - Type UnspecifiedRAINIER BEACH CLINIC
AB35082Medicare ID - Type UnspecifiedHIGH POINT CLINIC
8850352Medicare ID - Type Unspecified45TH ST. CLINIC
WA9635392Medicaid
8850356Medicare ID - Type UnspecifiedGREENWOOD CLINIC