Individual provider · Type 1 NPI

Jesse Marie Gray, PA-C

Medical Physician Assistant · Renton, WA

NPI number 1295384204 Active

Practice location

1412 SW 43rd St Ste 140
Renton, WA 98057-4803

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA61117627

Medical Physician Assistant: Definition to come...

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About NPI 1295384204

Jesse Marie Gray, PA-C's National Provider Identifier is 1295384204, issued on Sep 11, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Renton, WA. The record was last updated on Jul 9, 2026.