Individual
JAMES FREDERICK GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPC
Contact information
Practice address
1014 WALLA WALLA AVE, WENATCHEE, WA 98801-1523
(509) 663-0034
Mailing address
1014 WALLA WALLA AVE, WENATCHEE, WA 98801-1523
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
60550973
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60550973
—
WA
Enumeration date
11/08/2017
Last updated
11/08/2017
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