Organization
LAKE WASHINGTON PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT GOODE MD (PHYSICIAN/OWNER)
(206) 898-2416
Entity
Organization
Contact information
Practice address
8015 SE 28TH ST STE 310, MERCER ISLAND, WA 98040-2910
(206) 898-2416
(877) 771-1013
Mailing address
8015 SE 28TH ST STE 310, MERCER ISLAND, WA 98040-2910
(206) 898-2416
(877) 771-1013
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33004
WA
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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