Individual
MS. BRIANNE PATRICIA RANDALL-GAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
751 NE BLAKELY DR STE 2030, ISSAQUAH, WA 98029-6201
(425) 313-7080
(425) 313-7074
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60509009
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306270137
—
WA
Enumeration date
08/28/2013
Last updated
12/20/2021
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