Individual
GREGGORY EARL WATLINGTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
510 BOREN AVE N, SEATTLE, WA 98109-5501
(206) 320-5200
(206) 320-5202
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP61280823
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2213928
—
WA
Enumeration date
04/24/2019
Last updated
11/30/2022
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