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Individual

KATHERINE GOODWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
16251 SYLVESTER RD SW, BURIEN, WA 98166-3017
(206) 248-4548
Mailing address
7734 161ST STREET CT E, PUYALLUP, WA 98375-7504
(989) 400-7941

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601007684
MI
363A00000X
Physician Assistant
Primary
60602146
WA

Other

Enumeration date
03/29/2016
Last updated
03/29/2016
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