Individual
MR. GREGORY TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA.
Contact information
Practice address
11000 LAKE CITY WAY NE, SEATTLE, WA 98125-6748
(206) 604-7501
Mailing address
1604 42ND ST NE, AUBURN, WA 98002-7101
(206) 778-2939
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CG 60148789
WA
Other
Enumeration date
02/03/2017
Last updated
02/03/2017
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