person
Matthew Olden Gillum, MD
Student in an Organized Health Care Education/Training Program in Seattle, Washington
NPI 1174227516

Matthew Olden Gillum is a Student in an Organized Health Care Education/Training Program based in Seattle, WA. Matthew Olden Gillum practices in Seattle, WA and has the professional credentials of MD. The NPI Number for Matthew Olden Gillum is 1174227516 and holds a License No. (Washington).

The current practice location address for Matthew Olden Gillum is 925 Seneca St, Seattle, WA and can be reached out via phone at 206-583-6079.

Location: 925 Seneca St, Seattle, WA, 98101-2742
person
Provider Profile Details
NPI Number
1174227516
Provider Name
Matthew Olden Gillum
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
925 Seneca St, Seattle, WA, 98101-2742
Phone Number
206-583-6079
Fax Number
Provider Enumeration Date
03/29/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
925 Seneca St
City
State
Zip
98101-2742
Phone Number
206-583-6079
Fax Number
person
Provider Business Mailing Address Details
Address
925 Seneca St
City
State
Zip
98101-2742
Phone Number
206-583-6079
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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