Healthcare Provider Details

I. General information

NPI: 1174594907
Provider Name (Legal Business Name): ROBERT EUGENE BILLINGS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 12/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

322 S BIRCH ST
MCCLEARY WA
98557-9522
US

IV. Provider business mailing address

107 6TH ST
STEILACOOM WA
98388-1201
US

V. Phone/Fax

Practice location:
  • Phone: 360-495-3244
  • Fax: 360-495-4566
Mailing address:
  • Phone: 253-582-3426
  • Fax: 253-582-8060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code146D00000X
TaxonomyPersonal Emergency Response Attendant
License NumberMD00013280
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License NumberMD00013280
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: