MEDICARE: ROBERT GREGG BILLOW D.O.

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	208100000X	Physical Medicine & Rehabilitation Physician	OP00001735	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	149588	OTHER	WA	LABOR AND INDUSTRIES
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689672552
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT GREGG BILLOW D.O.

Provider Business Mailing Address
First Line	:	1211 24TH ST
Second Line	:
City	:	ANACORTES
State	:	WA
Zip	:	98221-2562
Country	:	US
Telephone Number	:	360-299-1378
Fax Number	:

Provider Business Practice Location Address
First Line	:	2511 M AVE STE C
Second Line	:
City	:	ANACORTES
State	:	WA
Zip	:	98221-3897
Country	:	US
Telephone Number	:	360-299-4929
Fax Number	:	360-299-4930

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

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	08/05/2022

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