Provider Demographics
NPI:1710915103
Name:GRIFFITH, ANNE P (LMT)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:P
Last Name:GRIFFITH
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 OLD FAIRHAVEN PARKWAY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225
Mailing Address - Country:US
Mailing Address - Phone:360-671-8000
Mailing Address - Fax:360-671-6835
Practice Address - Street 1:1050 LARRABEE AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-7367
Practice Address - Country:US
Practice Address - Phone:360-671-8000
Practice Address - Fax:360-671-6835
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-28
Last Update Date:2014-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00009448174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist