Healthcare Provider Details

I. General information

NPI: 1144184730
Provider Name (Legal Business Name): WILLIAM G MURRAY III PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32124 1ST AVE S STE 100
FEDERAL WAY WA
98003-5761
US

IV. Provider business mailing address

800 NE 67TH ST APT 309
SEATTLE WA
98115-5761
US

V. Phone/Fax

Practice location:
  • Phone: 253-661-5939
  • Fax: 253-661-5929
Mailing address:
  • Phone: 801-889-7855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA.PA.70066943
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: