Individual
FERMIN STEVEN GODINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
801 E WHEELER RD, MOSES LAKE, WA 98837-1820
(509) 766-1301
(509) 766-1306
Mailing address
505 S 336TH ST, SUITE 600, FEDERAL WAY, WA 98003-6328
(253) 838-6180
(253) 838-6418
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
20A7130
CA
207P00000X
Emergency Medicine Physician
Primary
OP00002147
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0218178
LIWA
WA
01
—
218368
LIWA
WA
01
—
3075GO
BSWA
WA
01
—
4688GO
BSWA
WA
05
—
8468183
—
WA
Enumeration date
01/26/2006
Last updated
07/10/2025
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