Basic Information
| Provider Information | |||||||||
| NPI: | 1427079128 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GUINEE | ||||||||
| FirstName: | DONALD | ||||||||
| MiddleName: | G | ||||||||
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| NameSuffix: | JR. | ||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1100 9TH AVE | ||||||||
| Address2: | MS:M4-PFS | ||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981012756 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2065155811 | ||||||||
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| Address1: | 1100 9TH AVE | ||||||||
| Address2: | |||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981012756 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2062236600 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/21/2006 | ||||||||
| LastUpdateDate: | 02/22/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207ZP0105X | MD00036427 | WA | Y | Allopathic & Osteopathic Physicians | Pathology | Clinical Pathology/Laboratory Medicine |
ID Information
| ID | Type | State | Issuer | Description | 220029865 | 01 | RAILROAD MEDICARE | OTHER | US1042891 | 01 | WA | AETNA/USHC SPECIALIST | OTHER | 0039575 | 01 | WA | LABOR & INDUSTRY | OTHER | 1427079128 | 01 | WA | MONTANA MEDICAID | OTHER | MD7057W | 01 | WA | ALASKA MEDICAID | OTHER | GU1168 | 01 | WA | BLUE SHIELD | OTHER | 8229981 | 05 | WA | MEDICAID |