Provider Demographics
NPI:1548725328
Name:GALOVIN-GUTHRIE, REBECCA RUTH
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:RUTH
Last Name:GALOVIN-GUTHRIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BECCA
Other - Middle Name:
Other - Last Name:GALOVIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4730 88TH ST NE
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98270-3023
Mailing Address - Country:US
Mailing Address - Phone:425-478-9685
Mailing Address - Fax:
Practice Address - Street 1:12721 30TH AVE NE STE 102
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-4498
Practice Address - Country:US
Practice Address - Phone:206-366-6707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-05
Last Update Date:2019-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
WANA00091559OtherNAR