Healthcare Provider Details

I. General information

NPI: 1932010352
Provider Name (Legal Business Name): ISABELLA GOSS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 1ST AVE N
SEATTLE WA
98109-4503
US

IV. Provider business mailing address

3116 N MASON AVE
TACOMA WA
98407-5418
US

V. Phone/Fax

Practice location:
  • Phone: 253-320-3649
  • Fax:
Mailing address:
  • Phone: 253-320-3649
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLF60567460
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: