Provider Demographics
NPI:1891784302
Name:GRAVETT, CLAUDIA PAYNE (MS)
Entity Type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:PAYNE
Last Name:GRAVETT
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 34876
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98124-1876
Mailing Address - Country:US
Mailing Address - Phone:425-656-5520
Mailing Address - Fax:425-656-5363
Practice Address - Street 1:4033 TALBOT RD S
Practice Address - Street 2:STE 450
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-5772
Practice Address - Country:US
Practice Address - Phone:425-656-5520
Practice Address - Fax:425-656-5363
Is Sole Proprietor?:No
Enumeration Date:2005-10-18
Last Update Date:2009-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS