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BROOKE GRANSTROM
NPI 1639651474
Physician Assistant in Spokane, WA

Active since August 29, 2018
105 W 8TH AVE STE 150E, SPOKANE, WA 99204(509) 465-3919(509) 277-7070 Get Directions Write a Review

NPPES record last updated: October 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2019, Aug 29, 2018 (2 updates tracked since 2018).

About Brooke Granstrom NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROOKE GRANSTROM (NPI 1639651474) is an individual physician assistant in Spokane, Washington, licensed in Washington (PA60997905) and active in the NPI registry since August 2018. She maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1639651474
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBROOKE GRANSTROM
Location Address105 W 8TH AVE STE 150ESpokane, WA 99204
Mailing Address105 E 8th Ave, Suite 150eSpokane, WA 99204-2318 · (509) 465-3919 · Fax (509) 468-0705
Phone(509) 465-3919
Fax(509) 277-7070
Sole ProprietorNo
Enumeration DateAugust 29, 2018
Last NPPES UpdateOctober 9, 20192 updates tracked since enumeration
✔ NPI 1639651474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WA · PA60997905
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
105 W 8TH AVE STE 150E, Spokane, WA 99204
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Secondary Practice Location 1

Location 14311 11th Ave NE Ste 200Seattle, WA 98105-6367 · Phone (206) 616-4001 · Fax (206) 616-3889

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MEREDITH HAYS D.O.
Internal Medicine (Hospice and Palliative Medicine)
105 W 8TH AVE STE 150E
SPOKANE, WA 99204
Spokane County (509) 455-3854
KELSI LYNN ADAMS LICSW
Social Worker (Clinical)
105 W 8TH AVE STE 150E
SPOKANE, WA 99204
Spokane County (509) 838-4128
MAURICIO ROMERO OLVERA M.D.
Pediatrics (Pediatric Nephrology)
105 W 8TH AVE STE 150E
SPOKANE, WA 99204
Spokane County (509) 252-1704
LANCE ROGER VARNS ARNP, NP-C
Nurse Practitioner (Family)
105 W 8TH AVE STE 150E
SPOKANE, WA 99204
Spokane County (509) 465-3919

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brooke Granstrom's NPI number?

The NPI number for Brooke Granstrom is 1639651474. It was assigned to this individual provider in the NPPES registry on August 29, 2018.

Where is Brooke Granstrom located?

Brooke Granstrom practices at 105 W 8th Ave Ste 150E, Spokane, WA 99204. The listed phone number is (509) 465-3919.

What is Brooke Granstrom's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Brooke Granstrom was last updated on October 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.