Individual provider · Type 1 NPI
Randal D. Gillen, LMP
Specialist · Ellensburg, WA
NPI number
1851559652
Active
Practice location
507 N Pine St, Suite E
Ellensburg, WA 98926-5024
Fax (509) 925-1526
Mailing address
314 1/2 N Pine St, #2
Ellensburg, WA 98926-3373
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MA00023402 (WA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1851559652
Randal D. Gillen, LMP's National Provider Identifier is 1851559652, issued on May 28, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Ellensburg, WA. The record was last updated on May 28, 2008.