Healthcare Provider Details

I. General information

NPI: 1548129703
Provider Name (Legal Business Name): DR WILLIS GABEL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2026
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22516 SE 64TH PL STE 200
ISSAQUAH WA
98027-5503
US

IV. Provider business mailing address

22516 SE 64TH PL STE 200
ISSAQUAH WA
98027-5503
US

V. Phone/Fax

Practice location:
  • Phone: 425-427-1120
  • Fax: 425-427-1120
Mailing address:
  • Phone: 425-427-1120
  • Fax: 425-427-1125

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number
License Number State

VIII. Authorized Official

Name: LACEY GEBHARD
Title or Position: PRACTICE MANAGER
Credential:
Phone: 425-427-1120