Alexandra Claire Gilbert, L.M.P.
Individual provider Active NPI Specialist · Othello, WA
NPI 1679889802 · NPPES record last updated Aug 25, 2010
Key facts
- NPI
- 1679889802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- MA60167942 (WA)
- Practice address
- 10 Sunrise Dr
Othello, WA 99344-9345 - Phone
- (509) 431-0973
- Fax
- (509) 488-1123
- NPI assigned
- Aug 25, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA60167942 | WA | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA60167942 | WA | Yes |
Addresses
Primary practice location
10 Sunrise Dr
Othello, WA 99344-9345
Mailing address
10 Sunrise Dr
Othello, WA 99344-9345
Phone (509) 431-0973
Other providers in Othello, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.