Gray, Talyn Marlene

Gray, Talyn Marlene is an individual health care provider with primary practice located at 916 Koala Ave , Omak WA 98841-9576. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Gray, Talyn Marlene can be contacted via phone (509) 663-8711.

Contact Information

Primary practice address
916 Koala Ave Omak WA 98841-9576
Phone: (509) 663-8711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X IO60334850 Washington
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X PA60323875 Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X IO60334850 Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X OA60384089 Washington

Profile Details

NPI number 1194063602
LBN Legal business name Gray, Talyn Marlene
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2013
Last updated Jun 21st, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194063602 NPPES
Washington Other P01574685 RR PTAN
Washington MEDICAID 1194063602 RR PTAN

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