Dorris, Gregory G
Dorris, Gregory G is an sole proprietor health care provider with primary practice located at 1021 Legion Way Se , Olympia WA 98501-1522. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Dorris, Gregory G can be contacted via phone (360) 455-0814.Contact Information
Primary practice address
1021 Legion Way Se
Olympia WA 98501-1522
Phone: (360) 455-0814
Fax: (360) 455-0814
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PY00002253 | Washington |
Profile Details
| NPI number | 1861564718 |
|---|---|
| LBN Legal business name | Dorris, Gregory G |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861564718 | NPPES |
| Washington | MEDICAID | 7099005 | |
| Washington | Other | 134144 |
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