MEDICARE: DR. RANDALL K. GOULD M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	0015759	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780602714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RANDALL K. GOULD M.D.

Provider Business Mailing Address
First Line	:	PO BOX 3360
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97208-3360
Country	:	US
Telephone Number	:	425-317-0279
Fax Number	:

Provider Business Practice Location Address
First Line	:	12800 BOTHELL EVERETT HWY
Second Line	:	SUITE 120
City	:	EVERETT
State	:	WA
Zip	:	98208-6642
Country	:	US
Telephone Number	:	425-316-5150
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	01/08/2014

Similar Medicare Providers

1518963404 — DR. JAMES DANIEL BASS M. D.
Practice Location Address:

12800 BOTHELL EVERETT HWY
EVERETT, WA
98208-6642

Practice Phone: 425-316-5150
Practice Fax:

1134106867 — CLINTON ANDERSON MD
Practice Location Address:

12800 BOTHELL EVERETT HWY
EVERETT, WA
98208-6642

Practice Phone: 425-316-5150
Practice Fax: 425-225-1006

1669430146 — WARD C CHOW MD
Practice Location Address:

12800 BOTHELL EVERETT HWY
EVERETT, WA
98208-6642

Practice Phone: 425-316-5130
Practice Fax: 425-316-5131

1427005313 — WESTERN WASHINGTON MEDICAL GROUP, INC PS
Practice Location Address:

12800 BOTHELL EVERETT HWY , SUITE 200
EVERETT, WA
98208-6642

Practice Phone: 425-259-3122
Practice Fax:

1447296280 — SHADI G BADRIEH MD
Practice Location Address:

12800 BOTHELL EVERETT HWY
EVERETT, WA
98208-6642

Practice Phone: 425-316-5440
Practice Fax:

1659304558 — ALAN O HAAKENSTAD MD.
Practice Location Address:

12800 BOTHELL EVERETT HWY , SUITE180
EVERETT, WA
98208-6642

Practice Phone: 425-316-5130
Practice Fax:

Directions to “ DR. RANDALL K. GOULD M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.