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Individual

J RICHARD GOSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
HARBORVIEW MEDICAL CENTER, 325 9TH AVE, SEATTLE, WA 98104
(206) 731-3000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00031022
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1003992819
WA
01
110182596
RAIL ROAD MEDICARE
WA
01
2925
INTERNAL ID-MOTOR VEHICLE ID
Enumeration date
10/27/2006
Last updated
01/24/2012
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