Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gary Depriest, PA-C

Individual provider Physician Assistant · NPI 1225710403

Gary Depriest, PA-C is a Physician Assistant in Olympia, Washington. Qualified in 2025, 1 year ago. Licensed in Washington.

Years since qualifying
1
Licensed in
WA
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2527 10th Ct SE
Olympia, WA 98501-2795
Phone: (253) 302-7651
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.PA.61660476 (WA)

Record details

NPI number1225710403
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 7, 2023
Last updated in NPPESFebruary 23, 2025
Certification dateFebruary 23, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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