Tomato (Solanum lycopersicum L.) is a major vegetable crop world-wide and grown in high tunnels in many regions. This study investigates the use of two fertilizer sources, chemical and integrated (composted poultry manure plus urea) fertilizers, and grafting on growth, nitrate-N content, yield, and fruit quality of tomato grown in high tunnels in northwestern Washington. Grafting treatments consisted of ‘Panzer’ tomato grafted on one of three tomato rootstocks ‘Estamino’, Maxifort’, ‘DRO138TX’, or non-grafted (control). Application of chemical fertilizer increased number of leaves per plant, plant height, and cumulative fresh biomass of pruned suckers relative to tomato plants grown with the integrated fertilizer treatment. Grafted tomato plants had greater plant growth than non-grafted plants throughout the growing season. There was no significant difference between fertilizer treatments on nitrate-N concentration in plant tissue or fresh petiole sap; however, grafted plants contained higher levels of nitrate-N than non-grafted plants. Total and marketable fruit weight and number did not differ due to fertilizer source, but total and marketable fruit weight was higher for grafted plants than for non-grafted plants in 2016. There was no significant effect due to fertilizer source on fruit firmness, water content, pH, titratable acidity, and β-carotene; however, total soluble solids (TSS) and lycopene content were higher for fruit grown with integrated fertilizer in 2016. Grafting enhanced water content of tomato fruit in 2015, and TSS (°Brix) in 2016.