Individual
E CAROL GOETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1415 E KINCAID ST, MOUNT VERNON, WA 98274
(360) 336-6517
(360) 466-2682
Mailing address
PO BOX 2329, MOUNT VERNON, WA 98273-7329
(360) 336-6517
(360) 466-2682
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00026003
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8117590
—
WA
Enumeration date
08/16/2006
Last updated
07/08/2007
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