Individual
GREGORY GERALD MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, LPN
Contact information
Practice address
1409 FRANKLIN ST STE 103, VANCOUVER, WA 98660-2860
(707) 480-4671
Mailing address
305 PACIFIC AVE N APT 102, KELSO, WA 98626-3417
(707) 480-4671
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00045933
WA
225700000X
Massage Therapist
MA60021990
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MULLIGG369BR
—
WA
Enumeration date
09/04/2019
Last updated
04/15/2025
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