Individual
CARRIE GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
17720 SE MILL PLAIN BLVD STE 160, VANCOUVER, WA 98683-7585
(360) 944-4437
Mailing address
17720 SE MILL PLAIN BLVD STE 160, VANCOUVER, WA 98683-7585
(360) 944-4437
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60251972
WA
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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