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Individual

DR. GREGORY W BEASLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
8490 MUKILTEO SPEEDWAY STE 201, MUKILTEO, WA 98275-3210
(425) 561-4772
Mailing address
8490 MUKILTEO SPEEDWAY STE 201, MUKILTEO, WA 98275-3210
(425) 561-4772

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHOOOO2828
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0537277
LNI
WA
01
124204
DEPT OF L&I
WA
Enumeration date
04/09/2007
Last updated
03/03/2026
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