Individual
CODY GILLENWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 685-0936
Mailing address
BB-928 HEALTH SCIENCES BLDG UNIVERSITY OF WASHINGTON, BOX 356490, SEATTLE, WA 98195-6490
(206) 685-0936
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ML90222962
WA
Other
Enumeration date
03/31/2011
Last updated
04/09/2014
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