Provider Demographics
NPI:1649858895
Name:LEOW, GILBERT
Entity type:Individual
Prefix:MR
First Name:GILBERT
Middle Name:
Last Name:LEOW
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10700 SE 260TH ST UNIT K103
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98030-7039
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10700 SE 260TH ST UNIT K103
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98030-7039
Practice Address - Country:US
Practice Address - Phone:206-484-5695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-30
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1757171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No171R00000XOther Service ProvidersInterpreter