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Individual

DR. JASON WILLIAM GOOCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ND, LMP

Contact information

Practice address
18528 FIRLANDS WAY N, SUITE D, SHORELINE, WA 98133-3985
(206) 629-4343
(206) 801-7365
Mailing address
18528 FIRLANDS WAY N, SUITE D, SHORELINE, WA 98133
(206) 629-4343
(206) 801-7365

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
NT60198440
WA
225700000X
Massage Therapist
MA00019095
WA

Other

Enumeration date
07/28/2009
Last updated
03/21/2016
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