MEDICARE: MR. GUILFORD HERSCHEL TRAYLOR M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD00033285	WA
2	207Q00000X	Family Medicine Physician	MD00032059	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	145678	OTHER	WA	L&I

General Provider Information

NPI Number	:	1679576979
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. GUILFORD HERSCHEL TRAYLOR M.D.

Provider Business Mailing Address
First Line	:	8212 S. MARCH POINT ROAD
Second Line	:
City	:	ANACORTES
State	:	WA
Zip	:	98221-8684
Country	:	US
Telephone Number	:	360-588-2800
Fax Number	:	360-588-2808

Provider Business Practice Location Address
First Line	:	8212 S. MARCH POINT ROAD
Second Line	:
City	:	ANACORTES
State	:	WA
Zip	:	98221-8684
Country	:	US
Telephone Number	:	360-588-2800
Fax Number	:	360-588-2808

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	08/22/2019

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