Individual
SAMUEL DYLAN GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
17700 SE 272ND ST STE 105, KENT, WA 98042-4951
(253) 792-6555
Mailing address
17700 SE 272ND ST STE 105, COVINGTON, WA 98042-4951
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1227641
—
Other
Enumeration date
07/29/2025
Last updated
01/30/2026
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