Individual
MR. GREGG ORVILLE SAMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1015 NE HOSTMARK ST, SUITE #101, POULSBO, WA 98370-6204
(360) 697-7726
(360) 697-7728
Mailing address
9621 RIDGETOP BLVD NW, SUITE #100, SILVERDALE, WA 98383-8502
(360) 337-7662
(360) 337-7300
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00002874
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8345118
—
WA
01
—
91181639721
KPS
WA
01
—
9187607
CIGNA
WA
Enumeration date
10/26/2006
Last updated
07/08/2007
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