Active NPI
Guillermo Gow-Lee, M.D.
- Internal Medicine Physician
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- WA MD00032225
- Practice address
- 14406 NE 20TH Ave
Vancouver, WA 98686-1448 - Phone
- (360) 418-6001
- NPI assigned
- Aug 25, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | WA MD00032225 | WA | Primary |
| Internal Medicine Physician | 207R00000X | G 67900 | CA |
Addresses
Primary practice location
14406 NE 20TH Ave
Vancouver, WA 98686-1448
Mailing address
14406 NE 20TH Ave
Vancouver, WA 98686-1448
Phone (360) 418-6001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, GU
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Loma Linda University School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
388 Ypao Rd
Tamuning, GU 96913-3701
Phone (671) 646-8881
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G 67900 | CA | MD | Internal Medicine Physician |
| WA MD00032225 | WA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Northwest | Internal Medicine | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Tri-Cities Community Health | Past | Accepting new patients | |
| Tri Cities Community Health | Past | Accepting new patients |
Locations
1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801
14406 NE 20th Ave
Vancouver, WA 98686
Phone (360) 418-6001
14406 NE 20th Ave
Ofc
Vancouver, WA 98686
Phone (360) 418-6001
7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Guam Seventh-Day Adventist Clinic
- Clinic/Center
- Tamuning, GU
- NPI 1275586877
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
Internal Medicine, WA
-
- Clinic/Center
- Hillsboro, OR
- NPI 1942718622
-
- Federally Qualified Health Center (FQHC)
- Pasco, WA
- NPI 1659995504
-
- Federally Qualified Health Center (FQHC)
- Pasco, WA
- NPI 1225145105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700994324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14406 NE 20TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986861448",
"telephone_number": "360-418-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14406 NE 20TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986861448",
"telephone_number": "360-418-6001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOW-LEE",
"first_name": "GUILLERMO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "WA MD00032225",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G 67900",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.