Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ian Bojorquez Gillingham, MD

Individual provider Family Medicine Physician · NPI 1427555093

Ian Bojorquez Gillingham, MD is a Family Practice in Lakewood, Washington. Qualified in 2017, 9 years ago. Practices with Community Health Care, a 72-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
9
Licensed in
WA
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10510 Gravelly Lake Dr SW
Lakewood, WA 98499-5036
Phone: (253) 589-7030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD61144821 (WA)
Family Medicine Physician Taxonomy 207Q00000X · Licence ML60979765 (WA)

Record details

NPI number1427555093
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2018
Last updated in NPPESFebruary 14, 2023
Certification dateFebruary 14, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Community Health Care — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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