Individual
MIA GILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 NE MOTHER JOSEPH PL STE 330, VANCOUVER, WA 98664-3288
(360) 514-2990
(360) 514-3508
Mailing address
979 E 3RD ST STE C735, CHATTANOOGA, TN 37403-3310
(423) 778-9101
(423) 778-9190
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3392
TN
363A00000X
Physician Assistant
Primary
PA61129329
WA
Other
Enumeration date
07/06/2016
Last updated
06/22/2023
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