Individual
WILLIAM J GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3216 NORTON AVE, SUITE 202, EVERETT, WA 98201-4290
(425) 297-5330
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 366-2983
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00027708
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0049981
LABOR AND INDUSTRY
WA
01
—
020020304
RAILROAD MEDICARE
WA
05
—
1058213
—
WA
01
—
MD00027708
STATE LICENSE NUMBER
WA
Enumeration date
05/25/2006
Last updated
02/20/2015
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