Healthcare Provider Details

I. General information

NPI: 1174439335
Provider Name (Legal Business Name): EMMA GOULD ND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16475 466TH PL SE
NORTH BEND WA
98045-8644
US

IV. Provider business mailing address

16475 466TH PL SE
NORTH BEND WA
98045-8644
US

V. Phone/Fax

Practice location:
  • Phone: 661-208-1969
  • Fax:
Mailing address:
  • Phone: 661-208-1969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: