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Individual

SAMANTHA T GOSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1135 116TH AVE NE, UNIT 305, BELLEVUE, WA 98004
(425) 453-1772
Mailing address
9233 10TH AVE SW, SEATTLE, WA 98106-2902
(206) 679-7775

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61400773

Other

Enumeration date
02/06/2023
Last updated
06/12/2023
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