Individual
MR. GREGORY ALLAN REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
300 EAST 24TH STREET, VANCOUVER, WA 98663
(360) 335-1195
(360) 882-7673
Mailing address
PO BOX 982, VANCOUVER, WA 98666
(360) 335-1195
(360) 882-7673
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
00016343
WA
225700000X
Massage Therapist
Primary
00016343
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0253446
LABOR AND INDUSTRY
WA
Enumeration date
04/21/2010
Last updated
06/04/2020
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