Provider Demographics
NPI:1760688519
Name:GRIAS, IRENE (DO)
Entity Type:Individual
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First Name:IRENE
Middle Name:
Last Name:GRIAS
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Gender:F
Credentials:DO
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Mailing Address - Street 1:11511 CANTERWOOD BLVD NW
Mailing Address - Street 2:STE 145
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98332-5813
Mailing Address - Country:US
Mailing Address - Phone:253-530-2940
Mailing Address - Fax:253-530-2970
Practice Address - Street 1:11511 CANTERWOOD BLVD NW
Practice Address - Street 2:STE 145
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98332-5813
Practice Address - Country:US
Practice Address - Phone:253-530-2940
Practice Address - Fax:253-530-2970
Is Sole Proprietor?:No
Enumeration Date:2007-06-26
Last Update Date:2014-10-21
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Provider Licenses
StateLicense IDTaxonomies
WAOP60460467207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA327409OtherSTATE L&I
WA327409OtherSTATE L&I