Individual
DR. GARY LEE SCHILLHAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1190 RIDDLE ST, DARRINGTON, WA 98241
(360) 436-1055
(360) 436-0146
Mailing address
PO BOX 309, DARRINGTON, WA 98241-0309
(360) 436-1055
(360) 436-0146
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00021477
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7108020
—
WA
Enumeration date
10/27/2005
Last updated
12/27/2011
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