Provider Demographics
NPI:1811074487
Name:GRIGGS, CHAUNCEY THEODORE (MD)
Entity type:Individual
Prefix:DR
First Name:CHAUNCEY
Middle Name:THEODORE
Last Name:GRIGGS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2211 E MILL PLAIN BLVD
Mailing Address - Street 2:VNC-SURG
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98661-9926
Mailing Address - Country:US
Mailing Address - Phone:360-619-4244
Mailing Address - Fax:360-619-4281
Practice Address - Street 1:500 NE MULTNOMAH ST
Practice Address - Street 2:KPB
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97232-2023
Practice Address - Country:US
Practice Address - Phone:503-813-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00039865208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery