Individual
MRS. JESSE MARIE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1412 SW 43RD ST STE 140, RENTON, WA 98057-4803
(949) 690-5830
Mailing address
1412 SW 43RD ST STE 140, RENTON, WA 98057-4803
(949) 690-5830
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA61117627
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/11/2019
Last updated
07/29/2025
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