Healthcare Provider Details

I. General information

NPI: 1144992850
Provider Name (Legal Business Name): NATALIE GOOBES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2021
Last Update Date: 04/17/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4100 LAKE WASHINGTON BLVD N APT C102
RENTON WA
98056-1588
US

IV. Provider business mailing address

4100 LAKE WASHINGTON BLVD N APT C102
RENTON WA
98056-1588
US

V. Phone/Fax

Practice location:
  • Phone: 425-653-4900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number61464810
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: