Individual
PAUL A GREGOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3209 S 23RD ST STE 200, TACOMA, WA 98405-1602
(253) 272-5127
Mailing address
2420 S UNION AVE STE 200, TACOMA, WA 98405-1323
(360) 413-8191
(253) 682-2427
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
543521
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60110772
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G8889731
PTAN (N)
WA
01
—
G8911261
PTAN (S)
WA
Enumeration date
10/04/2006
Last updated
04/30/2019
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