Gregory Gerald Mullins, LMT, LPN is a
Licensed Practical Nurse based in Vancouver, Washington. Gregory Gerald Mullins is licensed to practice in Washington (license number LP00045933) and his current practice location is
1409 Franklin St Ste 103, Vancouver, Washington. He can be reached at his office (for appointments etc.) via phone at
(707) 480-4671.
NPI number for Gregory Gerald Mullins is 1588213409 and his current mailing address is 305 Pacific Ave N Apt 102, Kelso, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588213409.
Healthcare Provider's Profile
Full Name | Gregory Gerald Mullins |
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Gender | Male |
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Speciality | Licensed Practical Nurse |
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Location | 1409 Franklin St Ste 103, Vancouver, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1588213409
- Provider Enumeration Date: 09/04/2019
- Last Update Date: 04/15/2025
Medical Identifiers
Medical identifiers for Gregory Gerald Mullins such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588213409 | NPI | - | NPPES |
MULLIGG369BR | Medicaid | WA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | MA60021990 (Washington) | Secondary |
164W00000X | Licensed Practical Nurse | LP00045933 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gregory Gerald Mullins is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Gregory Gerald Mullins, LMT, LPN 305 Pacific Ave N Apt 102, Kelso, WA 98626-3417 Ph: (707) 480-4671 | Gregory Gerald Mullins, LMT, LPN 1409 Franklin St Ste 103, Vancouver, WA 98660-2860 Ph: (707) 480-4671 |
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