Individual
NANCY L GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
7350 W DESCHUTES AVE, B103, KENNEWICK, WA 99336
(509) 783-0144
(509) 783-8244
Mailing address
7350 W DESCHUTES AVE, B103, KENNEWICK, WA 99336
(509) 783-0144
(509) 783-8244
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003410
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8324253
—
WA
Enumeration date
08/13/2006
Last updated
08/03/2007
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