Individual
GREGORY CLARK DOROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4400 INTERLAKE AVE N, SEATTLE, WA 98103-7519
(763) 237-4228
Mailing address
4455 INTERLAKE AVE N UNIT 133, SEATTLE, WA 98103-7570
(763) 237-4228
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
60989159
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3059
MN ATC LICENSE
MN
01
—
60989159
WA ATHLETIC TRAINER LICENSE
WA
Enumeration date
09/09/2021
Last updated
09/09/2021
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