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Contact Information

GRIFFITH BLACKMON, MD
2520 CHERRY AVE
BREMERTON, WA98310-4229
 Phone: 360-744-5804
 Fax: 206-965-4279
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Sleep Medicine

207RS0012X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GRIFFITH BLACKMON · (Male)

NPI Number 1609836824
Status Active
Credentials MD
Entity Individual
Enumeration date 03/23/2006
Last updated 12/01/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • WA License # MD00029049
  • WA Medicaid 1014390
  • WA Medicaid 1115468
Hospital affiliation(s)
  • HARRISON MEDICAL CENTER - (Acute Care)
    2520 CHERRY AVENUE
    BREMERTON, WA 98310
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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