SearchWashington183500000X

Gordon Sproul

NPI 1609318237 · on the registry since 2016 · sole proprietor

Practice

Address
14040 15th Ave Ne
Apt. 22e
Seattle, WA 98125
Phone
(916) 807-0402

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-11-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington