Provider Demographics
NPI:1477757011
Name:GUINTO, RACHELLE J (MD)
Entity Type:Individual
Prefix:
First Name:RACHELLE
Middle Name:J
Last Name:GUINTO
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 1:4700 POINT FOSDICK DR NW
Mailing Address - Street 2:STE 202
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-1706
Mailing Address - Country:US
Mailing Address - Phone:253-857-1450
Mailing Address - Fax:253-857-1489
Practice Address - Street 1:4700 POINT FOSDICK DR NW
Practice Address - Street 2:STE 202
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-1706
Practice Address - Country:US
Practice Address - Phone:253-857-1450
Practice Address - Fax:253-857-1489
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00047886207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0222623OtherL & I
WA8487480Medicaid
WA8945491OtherCRIME VICTIMS
WAP00434385OtherRAILROAD
WAG8866345Medicare PIN