Basic Information
Provider Information
NPI: 1003806142
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GRIFFITHS
FirstName: RICHARD
MiddleName: CRAIG
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 5908
Address2:  
City: BELLEVUE
State: WA
PostalCode: 980060408
CountryCode: US
TelephoneNumber: 2062441212
FaxNumber: 2062441223
Practice Location
Address1: 550 16TH AVE
Address2: SUITE 404
City: SEATTLE
State: WA
PostalCode: 981225699
CountryCode: US
TelephoneNumber: 2063290585
FaxNumber: 2062441223
Other Information
ProviderEnumerationDate: 10/27/2005
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XMD00019085WAY Allopathic & Osteopathic PhysiciansAnesthesiology 

ID Information
IDTypeStateIssuerDescription
G67501WAREGENCE BLUE SHIELDOTHER
001830101WADEPT OF LABOR & INDUSTRIEOTHER
109840905WA MEDICAID


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