Healthcare Provider Details

I. General information

NPI: 1720312176
Provider Name (Legal Business Name): GAIL BORIEL MBBS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2009
Last Update Date: 03/23/2025
Certification Date: 03/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1124 COLUMBIA ST STE 620
SEATTLE WA
98104-2046
US

IV. Provider business mailing address

1019 112TH ST SW
EVERETT WA
98204-4875
US

V. Phone/Fax

Practice location:
  • Phone: 206-215-2550
  • Fax:
Mailing address:
  • Phone: 425-789-3789
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35.098360
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License Number60680
License Number StateMN
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD61529115
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: