Individual
MR. MICHAEL A GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AARP
Contact information
Practice address
2116 E SECTION ST, MOUNT VERNON, WA 98274-9124
(360) 428-1700
(360) 848-4350
Mailing address
2116 E SECTION ST, MOUNT VERNON, WA 98274-9124
(360) 428-1700
(360) 848-4350
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0174643
L&I
WA
05
—
9616533
—
WA
Enumeration date
05/31/2005
Last updated
07/08/2007
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