Individual
MR. GARRETT D. GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
12911 120TH AVE NE, SUITE H-210, KIRKLAND, WA 98034-3027
(425) 823-4000
(425) 821-3550
Mailing address
805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA60323188
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0326993
LABOR & INDUSTRIES
WA
Enumeration date
11/12/2012
Last updated
06/17/2016
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