Healthcare Provider Details

I. General information

NPI: 1134548068
Provider Name (Legal Business Name): ANNE GAYMAN M.D. (GRAD 06/14)
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2014
Last Update Date: 04/07/2021
Certification Date: 04/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 16TH AVENUE EAST, CSB-540 GROUP HEALTH FAMILY MEDICINE RESIDENCY
SEATTLE WA
98112
US

IV. Provider business mailing address

125 16TH AVE E CAPITOL HILL SOUTH
SEATTLE WA
98112-5260
US

V. Phone/Fax

Practice location:
  • Phone: 206-326-3585
  • Fax:
Mailing address:
  • Phone: 206-326-3000
  • Fax: 206-326-2785

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number60671176
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: