Provider Demographics
NPI:1730158478
Name:GAUTHIER, VERLENE JOYCE (MD)
Entity type:Individual
Prefix:DR
First Name:VERLENE
Middle Name:JOYCE
Last Name:GAUTHIER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 34876
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98124-1876
Mailing Address - Country:US
Mailing Address - Phone:425-656-5412
Mailing Address - Fax:425-656-4096
Practice Address - Street 1:27005 168TH PL SE
Practice Address - Street 2:STE 301
Practice Address - City:COVINGTON
Practice Address - State:WA
Practice Address - Zip Code:98042-4902
Practice Address - Country:US
Practice Address - Phone:253-395-1971
Practice Address - Fax:253-395-1983
Is Sole Proprietor?:No
Enumeration Date:2006-03-15
Last Update Date:2012-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00023841207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology