Provider Demographics
NPI:1669759049
Name:PINTOR, GREGORY (PA-C)
Entity type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:
Last Name:PINTOR
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2219 2ND AVE
Mailing Address - Street 2:#308
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98121-2009
Mailing Address - Country:US
Mailing Address - Phone:206-443-2575
Mailing Address - Fax:
Practice Address - Street 1:2219 2ND AVE
Practice Address - Street 2:#308
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98121-2009
Practice Address - Country:US
Practice Address - Phone:206-443-2575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-13
Last Update Date:2011-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA10004512363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical