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Individual

MR. GREGORY RYAN BECKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CPO

Contact information

Practice address
4800 SAND POINT WAY NE, W4657, SEATTLE, WA 98105-3901
(206) 386-6100
(206) 386-6332
Mailing address
PO BOX 5371, W4657, SEATTLE, WA 98105-0371
(206) 386-6100
(206) 386-6332

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OI00000294
WA
174400000X
Specialist
PS00000315
WA

Other

Enumeration date
06/16/2008
Last updated
06/16/2008
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