Basic Information
| Provider Information | |||||||||
| NPI: | 1477757011 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GUINTO | ||||||||
| FirstName: | RACHELLE | ||||||||
| MiddleName: | J. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4700 POINT FOSDICK DR NW | ||||||||
| Address2: | STE 202 | ||||||||
| City: | GIG HARBOR | ||||||||
| State: | WA | ||||||||
| PostalCode: | 983351706 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2538571450 | ||||||||
| FaxNumber: | 2538571489 | ||||||||
| Practice Location | |||||||||
| Address1: | 4700 POINT FOSDICK DR NW | ||||||||
| Address2: | STE 202 | ||||||||
| City: | GIG HARBOR | ||||||||
| State: | WA | ||||||||
| PostalCode: | 983351706 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2538571450 | ||||||||
| FaxNumber: | 2538571489 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/14/2007 | ||||||||
| LastUpdateDate: | 11/08/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD00047886 | WA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 0222623 | 01 | WA | L & I | OTHER | 8487480 | 05 | WA | MEDICAID | 8945491 | 01 | WA | CRIME VICTIMS | OTHER | P00434385 | 01 | WA | RAILROAD | OTHER |