Individual
HOWARD BRUCE GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4421 NE ST JOHNS RD, VANCOUVER, WA 98661-2573
(360) 695-9922
(360) 695-1310
Mailing address
4421 NE ST JOHNS RD, VANCOUVER, WA 98661-2573
(360) 695-9922
(360) 695-1310
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0000198
WA
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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