Gray, Garrett D.
Gray, Garrett D. is an individual health care provider with primary practice located at 12911 120Th Ave Ne Suite H-210, Kirkland WA 98034-3027. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Gray, Garrett D. can be contacted via phone (425) 823-4000.Contact Information
Primary practice address
12911 120Th Ave Ne Suite H-210
Kirkland WA 98034-3027
Phone: (425) 823-4000
Fax: (425) 821-3550
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA60323188 | Washington |
Profile Details
| NPI number | 1265776470 |
|---|---|
| LBN Legal business name | Gray, Garrett D. |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 12th, 2012 |
| Last updated | Jun 17th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265776470 | NPPES |
| Washington | Other | 0326993 | LABOR & INDUSTRIES |
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