Individual
RICHARD K GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
33501 1ST WAY S, FEDERAL WAY, WA 98003-6208
(253) 838-2400
(253) 874-1634
Mailing address
1100 9TH AVE, MS M4-PA, SEATTLE, WA 98101-2756
(206) 515-5811
(206) 515-5886
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00011072
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039577
LABOR & INDUSTRY
WA
05
—
1316108
—
WA
01
—
G461
BLUE SHIELD
WA
01
—
MD784WA
ALASKA MEDICAID
WA
01
—
US0899713
AETNA/USHC PCP
WA
Enumeration date
07/18/2006
Last updated
05/23/2011
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