Individual
DR. GREGORY G DORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1021 LEGION WAY SE, OLYMPIA, WA 98501-1522
(360) 455-0814
(360) 455-0814
Mailing address
3915 SOUTH BAY LOOP NE, OLYMPIA, WA 98516-2602
(360) 455-0814
(360) 455-0814
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY00002253
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134144
WA STATE LABOR & INDUSTRI
WA
05
—
7099005
—
WA
Enumeration date
11/15/2006
Last updated
07/09/2007
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