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NPI Code Detail

MEDICARE: MEGAN GRAY

MEDICARE:   MEGAN  GRAY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208200000XPlastic Surgery Physician61204014WA

General Provider Information

NPI Number : 1588197370
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN GRAY
Provider Business Mailing Address
First Line : 6100 219TH ST SW STE 290
Second Line :
City : MOUNTLAKE TERRACE
State : WA
Zip : 98043-2222
Country : US
Telephone Number : 425-776-0880
Fax Number :
Provider Business Practice Location Address
First Line : 6100 219TH ST SW STE 290
Second Line :
City : MOUNTLAKE TERRACE
State : WA
Zip : 98043-2222
Country : US
Telephone Number : 425-776-0880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2017
Last Update Date : 12/17/2025

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Directions to “ MEGAN GRAY ” Practice Location

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