Individual
DEBRA A GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
504 N 40TH AVE, YAKIMA, WA 98908-4311
(509) 966-9480
(509) 225-2702
Mailing address
3800 SUMMITVIEW AVE, YAKIMA, WA 98902-2715
(509) 248-7849
(509) 248-8291
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00027853
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0107394
LABOR & INDUSTRIES
WA
05
—
8140154
—
WA
01
—
8939873
CRIME VICTIM
WA
01
—
P00059088
RAILROAD MEDICARE
WA
Enumeration date
07/20/2005
Last updated
02/20/2024
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