Individual
MRS. SUSAN FORESTER GOODALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, ARNP
Contact information
Practice address
12303 NE 130TH LN, SUITE 500, KIRKLAND, WA 98034-3099
(425) 899-4455
Mailing address
7360 21ST AVE NW, SEATTLE, WA 98117-5623
(206) 782-8987
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30006659
WA
Other
Enumeration date
01/16/2007
Last updated
08/03/2009
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