Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Laura S. Grantham, PAC

Individual provider Athletic Trainer · NPI 1609171347

Laura S. Grantham, PAC is a Physician Assistant in Mount Vernon, Washington. Qualified in 2014, 12 years ago. Practices with Public Hospital Dist No 1 Skagit, a 321-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida and Washington.

Years since qualifying
12
Licensed in
FL, WA
In the registry since
2011
Specialties on file
3
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

2320 Freeway Dr
Mount Vernon, WA 98273-5445
Phone: (360) 428-2550
Fax: (360) 428-6402
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3823 172nd St Ne, Arlington, WA 98223-7735 — (360) 428-2550
  • 1400 E. Kincaid Street, Mount Vernon, WA 98274-4127 — (360) 428-2550

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA60617391 (WA)
Athletic Trainer Taxonomy 2255A2300X · Licence AL2999 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA60617391 (WA)

Record details

NPI number1609171347
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedJanuary 11, 2011
Last updated in NPPESSeptember 22, 2021
Certification dateSeptember 22, 2021
Mailing address1400 E. Kincaid Street, Attn: Credentialing, Mount Vernon, WA 98274-4127

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Public Hospital Dist No 1 Skagit — 321 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Mount Vernon