Individual
GRETCHEN MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
707 PINE AVE, STE. A102, SNOHOMISH, WA 98290-2599
(360) 568-7075
(360) 568-3205
Mailing address
707 PINE AVE, STE. A102, SNOHOMISH, WA 98290-2599
(360) 568-7075
(360) 568-3205
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00009289
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0108974
WASHINGTON STATE L& I
WA
01
—
0834MI
REGENCE RIDER
WA
Enumeration date
01/11/2007
Last updated
07/08/2007
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