Individual
DEBORAH LEE GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP, MMP, NCTM
Contact information
Practice address
410 E 20TH ST, VANCOUVER, WA 98663-3316
(360) 798-3917
(360) 574-9934
Mailing address
PO BOX 65188, VANCOUVER, WA 98665-0007
(360) 798-3917
(360) 574-9934
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00024747
WA
Other
Enumeration date
11/13/2007
Last updated
11/06/2009
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