Individual
GRETCHEN PAIGE WIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
800 LOGAN AVE N, BUILDING 4-04, MEDICAL, RENTON, WA 98055-2080
(425) 237-1333
Mailing address
PO BOX 3707, MC 61-40, SEATTLE, WA 98124-2447
(425) 237-3600
(425) 965-3752
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10004652
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4303397
—
MT
05
—
806970500
—
ID
05
—
8390924
—
WA
05
—
N/A
—
AK
Enumeration date
07/10/2006
Last updated
10/02/2008
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