Individual
DR. RANDALL K. GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12800 BOTHELL EVERETT HWY, SUITE 120, EVERETT, WA 98208-6642
(425) 316-5150
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(425) 317-0279
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0015759
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1208107
—
WA
Enumeration date
07/17/2006
Last updated
01/08/2014
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