Individual
AARON GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
204 E 16TH ST, VANCOUVER, WA 98663-3409
(360) 635-3477
Mailing address
3809 NW 121ST ST, VANCOUVER, WA 98685-2778
(360) 281-5106
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60915644
WA
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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