MEDICARE: DR. ROBERT EUGENE BILLINGS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	146D00000X	Personal Emergency Response Attendant	MD00013280	WA
2	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	MD00013280	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174594907
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT EUGENE BILLINGS M.D.

Provider Business Mailing Address
First Line	:	107 6TH ST
Second Line	:
City	:	STEILACOOM
State	:	WA
Zip	:	98388-1201
Country	:	US
Telephone Number	:	253-582-3426
Fax Number	:	253-582-8060

Provider Business Practice Location Address
First Line	:	322 S BIRCH ST
Second Line	:
City	:	MCCLEARY
State	:	WA
Zip	:	98557-9522
Country	:	US
Telephone Number	:	360-495-3244
Fax Number	:	360-495-4566

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2006
Last Update Date	:	12/06/2011

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