Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Garrett D. Gray, PA-C

Individual provider Surgical Physician Assistant · NPI 1265776470

Mr. Garrett D. Gray, PA-C is a Physician Assistant in Kirkland, Washington. Qualified in 2012, 14 years ago. Practices with Proliance Surgeons Inc P S, a 394-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
14
Licensed in
WA
In the registry since
2012
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

12911 120th Ave NE Ste H-210
Kirkland, WA 98034-3027
Phone: (425) 823-4000
Fax: (425) 821-3550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA60323188 (WA)

Record details

NPI number1265776470
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 12, 2012
Last updated in NPPESJune 17, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Proliance Surgeons Inc P S — 394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Kirkland