SearchWashington174400000X

Randal Gillen, LMP

NPI 1851559652 · on the registry since 2008

Practice

Address
507 N Pine St
Suite E
Ellensburg, WA 98926
Phone
(509) 925-1525
Fax
(509) 925-1526

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-05-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington