# GOOD SHEPHERD MEDICAL SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Good Shepherd Medical Services LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710607403
- **Authorized official:** HAZELINE VILLARUZ GUMIRAN-ALEJANDRO ARNP (PRESIDENT)
- **Authorized official phone:** (206) 372-2960

## Contact information

- **Practice address:** 714 S 38TH CT, RENTON, WA 98055-5894
- **Practice address phone:** (206) 372-2960
- **Practice address fax:** (425) 282-4455
- **Mailing address:** 714 S 38TH CT, RENTON, WA 98055-5894
- **Mailing address phone:** (206) 372-2960
- **Mailing address fax:** (425) 282-4455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/01/2022
- **Last updated:** 09/01/2022