Basic Information
| Provider Information | |||||||||
| NPI: | 1811074487 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GRIGGS | ||||||||
| FirstName: | CHAUNCEY | ||||||||
| MiddleName: | THEODORE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2211 E MILL PLAIN BLVD | ||||||||
| Address2: | VNC-SURG | ||||||||
| City: | VANCOUVER | ||||||||
| State: | WA | ||||||||
| PostalCode: | 986619926 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3606194244 | ||||||||
| FaxNumber: | 3606194281 | ||||||||
| Practice Location | |||||||||
| Address1: | 500 NE MULTNOMAH ST | ||||||||
| Address2: | KPB | ||||||||
| City: | PORTLAND | ||||||||
| State: | OR | ||||||||
| PostalCode: | 972322023 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5038132000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/01/2006 | ||||||||
| LastUpdateDate: | 02/04/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | MD00039865 | WA | Y | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.