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Individual

KAREN M GOODMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1610 GROVER ST, SUITE D1, LYNDEN, WA 98264-1539
(360) 354-1333
(360) 354-5399
Mailing address
709 W ORCHARD DR, SUIRE 4, BELLINGHAM, WA 98225-1766
(360) 318-8800
(360) 318-1085

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30004920
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0128913
L & I (REGULAR)
WA
01
0500009160
RAILROAD MEDICARE
WA
01
42079
REGENCE BLUESHIELD
WA
01
423898057
GROUP HEALTH COOPERATIVE
WA
01
8924736
L & I (CRIME VICTIM)
WA
05
9625161
WA
Enumeration date
07/21/2006
Last updated
06/15/2015
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