Individual
MRS. GRETCHEN ELIZABETH THORNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
506 N 40TH AVE, #201, YAKIMA, WA 98908-4318
(509) 966-7899
Mailing address
3911 CASTLEVALE RD, STE 301, YAKIMA, WA 98902-7807
(509) 966-7899
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0127041
NY
363AS0400X
Surgical Physician Assistant
60270956
WA
Other
Enumeration date
08/11/2007
Last updated
05/04/2018
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