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L A Professional Service Corp.

Family Medicine Physician in Bremerton, WA · enumerated 2006 · authorized official Terrilynn Nicklin Griswold, Billing Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1760551410

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Registry record

Entity type Organization (Type 2)
Legal business name L A Professional Service Corp.
Practice address 804 Callahan Dr # A, Bremerton, WA, 98310
Fax (360) 377-2341
Enumeration date Nov 7, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 002495 (WA) Primary

Authorized official

Name Terrilynn Nicklin Griswold
Title Billing Manager

Other identifiers

Identifier Type State Issuer
AF1655 Other WA REGENCE
1048636 Medicaid WA -
0075138 Other WA L&I

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is L A Professional Service Corp. located?
The practice location on file with NPPES is in Bremerton, WA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.