MEDICARE: SABIN J GILMAN ND

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	175F00000X	Naturopath

General Provider Information

NPI Number	:	1770191355
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SABIN J GILMAN ND

Provider Business Mailing Address
First Line	:	3256 CALIFORNIA AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98116-3305
Country	:	US
Telephone Number	:	206-938-1393
Fax Number	:	206-922-5322

Provider Business Practice Location Address
First Line	:	3256 CALIFORNIA AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98116-3305
Country	:	US
Telephone Number	:	206-938-1393
Fax Number	:	206-922-5322

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

Provider Enumeration Date	:	07/20/2020
Last Update Date	:	08/13/2021

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