Individual
JEFFREY T GUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
515 MINOR AVE STE 170, SEATTLE, WA 98104-2133
(206) 386-9500
(206) 386-9605
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60622248
WA
363L00000X
Nurse Practitioner
Primary
AP61056501
WA
363LP2300X
Primary Care Nurse Practitioner
AP61056501
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2166209
—
WA
Enumeration date
02/25/2020
Last updated
07/25/2022
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