Provider Demographics
NPI:1144614892
Name:GAILLOUR, FRANCINE (MD)
Entity type:Individual
Prefix:
First Name:FRANCINE
Middle Name:
Last Name:GAILLOUR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15600 NE 8TH ST
Mailing Address - Street 2:SUITE B1-163
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98008-3927
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:15600 NE 8TH ST
Practice Address - Street 2:SUITE B1-163
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98008-3927
Practice Address - Country:US
Practice Address - Phone:425-998-8454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-19
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD 00020141207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine