Organization
SNOHOMISH HEALTH DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY M. GOLDBAUM MD (HEALTH OFFICER)
(425) 339-5210
Entity
Organization
Contact information
Practice address
3020 RUCKER AVE, SUITE 308, EVERETT, WA 98201-3900
(425) 339-5215
(425) 339-5263
Mailing address
3020 RUCKER AVE, SUITE 308, EVERETT, WA 98201-3900
(425) 339-5215
(425) 339-5263
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
MD00023980
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7408362
—
WA
Enumeration date
05/14/2007
Last updated
08/22/2020
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