Individual
AVI GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12039 NE 128TH ST STE 400, KIRKLAND, WA 98034-3029
(425) 899-4810
Mailing address
12039 NE 128TH ST STE 400, KIRKLAND, WA 98034-3029
(425) 899-4810
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
282401
MA
207X00000X
Orthopaedic Surgery Physician
Primary
61149478
WA
207X00000X
Orthopaedic Surgery Physician
MD16686
RI
207XS0106X
Orthopaedic Hand Surgery Physician
61149478
WA
Other
Enumeration date
05/27/2014
Last updated
08/10/2021
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