Individual
MARJORIE P. GILLESPY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12515 7TH AVE NW, SEATTLE, WA 98177-4424
(206) 362-2764
(206) 417-3108
Mailing address
PO BOX 77633, SEATTLE, WA 98177-0633
(206) 362-2764
(206) 417-3108
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00027964
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1065911
—
WA
Enumeration date
02/12/2007
Last updated
04/05/2014
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