Individual
DR. TIMOTHY W GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
825 SE BISHOP BLVD STE 601, PULLMAN, WA 99163-5512
(509) 334-5876
(509) 332-8793
Mailing address
825 SE BISHOP BLVD, SUITE 601, PULLMAN, WA 99163-5517
(509) 334-5876
(509) 332-8793
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
005600
AZ
207Y00000X
Otolaryngology Physician
0530995
KS
207Y00000X
Otolaryngology Physician
63863
GA
207Y00000X
Otolaryngology Physician
774
NE
207Y00000X
Otolaryngology Physician
Primary
OP60500221
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CS37466
IDAHO LICENSE-IDAHO BOARD OF PHARMACY
ID
01
—
OP60500221
WASHINGTON LICENSE
WA
Enumeration date
04/06/2007
Last updated
06/08/2021
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