Provider Demographics
NPI:1598768491
Name:ESSER, GILLIAN G (MD)
Entity Type:Individual
Prefix:DR
First Name:GILLIAN
Middle Name:G
Last Name:ESSER
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 1:3343 NW BYRON ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-9123
Mailing Address - Country:US
Mailing Address - Phone:360-337-7369
Mailing Address - Fax:360-337-1158
Practice Address - Street 1:3343 NW BYRON ST
Practice Address - Street 2:SUITE A
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-9123
Practice Address - Country:US
Practice Address - Phone:360-337-7369
Practice Address - Fax:360-337-1158
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00034839174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1108331Medicaid
WA1108331Medicaid
WAAB10388Medicare ID - Type Unspecified