Individual
DR. BRETT REID DEGOOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1550 S PIONEER WAY STE 350, MOSES LAKE, WA 98837-4618
(509) 793-9789
(509) 764-3266
Mailing address
1616 S PIONEER WAY, MOSES LAKE, WA 98837-2487
(509) 793-9715
(509) 764-3244
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
OP60081051
WA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
OP60081051
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2114835
—
WA
Enumeration date
07/30/2006
Last updated
05/04/2026
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