Individual
PAUL T. WILSON-GRILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1210 SW 136TH ST, BURIEN, WA 98166-1214
(206) 257-6600
(206) 257-6830
Mailing address
2600 SW HOLDEN ST, SEATTLE, WA 98126-3505
(206) 933-7214
(206) 933-7005
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30004839
WA
Other
Enumeration date
12/27/2006
Last updated
06/09/2015
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