Individual
JO GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1135 116TH AVE NE, SUITE 640, BELLEVUE, WA 98004-4623
(425) 646-4700
(425) 646-1076
Mailing address
PO BOX 84353, SEATTLE, WA 98124-5653
(206) 592-5000
(206) 824-9510
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00064876
WA
363LW0102X
Women's Health Nurse Practitioner
AP30002151
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8128084
—
WA
Enumeration date
03/22/2007
Last updated
10/19/2007
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