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Individual

MISS MICHEALLE LEE GREGORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1601 E 4TH PLAIN BLVD, BLDG 17 STE B222, VANCOUVER, WA 98661-3753
(360) 397-8484
(360) 397-8494
Mailing address
PO BOX 1845, VANCOUVER, WA 98668-1845
(360) 397-8484
(360) 397-8494

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00151533
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP61463849
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN00151533
WA

Other

Enumeration date
05/14/2014
Last updated
04/18/2026
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