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Individual

MATTHEW KORY GREY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMP MA 60158687

Contact information

Practice address
3001 BEACON AVE S, SEATTLE, WA 98144-5853
(206) 395-9255
Mailing address
1222 1ST AVE APT 405, SEATTLE, WA 98101-2974
(253) 227-7696

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 60158687
WA

Other

Enumeration date
08/05/2015
Last updated
08/05/2015
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