Provider Demographics
NPI:1740338102
Name:GARTON, RACHEL A (MD)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:A
Last Name:GARTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7707 SE 27TH ST STE 104
Mailing Address - Street 2:
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-2844
Mailing Address - Country:US
Mailing Address - Phone:206-232-2267
Mailing Address - Fax:206-232-2267
Practice Address - Street 1:7707 SE 27TH ST STE 104
Practice Address - Street 2:
Practice Address - City:MERCER ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98040-2844
Practice Address - Country:US
Practice Address - Phone:206-232-2267
Practice Address - Fax:206-232-2267
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2019-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00042607207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8385775Medicaid
WA8385775Medicaid
WAG8805341Medicare PIN