Individual
GREGORY B BICKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3810 KERN WAY STE B, YAKIMA, WA 98902-7805
(509) 228-7237
(844) 315-7388
Mailing address
3810 KERN WAY STE B, YAKIMA, WA 98902-7805
(509) 228-7237
(844) 315-7388
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003810
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA10003810
LICENSE NUMBER
WA
Enumeration date
12/07/2006
Last updated
10/16/2019
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