# TALYN MARLENE GRAY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1194063602
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | IO60334850 | WA | — |
| 207X00000X | Orthopaedic Surgery Physician | PA60323875 | WA | — |
| 363A00000X | Physician Assistant | IO60334850 | WA | — |
| 363A00000X | Physician Assistant | OA60384089 | WA | Yes |

## Other

- **Enumeration date:** 01/18/2013
- **Last updated:** 06/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1194063602 | — | WA |
| 01 | — | P01574685 | RR PTAN | WA |