Individual
NICHOLAS GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5625 N WALL ST STE 100, SPOKANE, WA 99205-6435
(509) 415-3507
Mailing address
5625 N WALL ST STE 100, SPOKANE, WA 99205-6435
(509) 415-3507
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
WA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60863117
WA
Other
Enumeration date
07/03/2018
Last updated
04/02/2026
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