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Individual

EILEEN FRANCES GIBBONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1325 4TH AVE, SUITE 1240, SEATTLE, WA 98101-2573
(206) 625-0202
(206) 625-1910
Mailing address
1325 4TH AVE, SUITE 1240, SEATTLE, WA 98101-2573
(206) 625-0202
(206) 625-1910

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34303
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1102110
WA
01
34303
MD LICENSE NUMBER
WA
Enumeration date
11/30/2006
Last updated
07/08/2007
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