Healthcare Provider Details

I. General information

NPI: 1164347183
Provider Name (Legal Business Name): SHOSHANA GOLDMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1959 NE PACIFIC ST FL 3
SEATTLE WA
98195-0001
US

IV. Provider business mailing address

1959 NE PACIFIC ST FL 3
SEATTLE WA
98195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 206-598-4070
  • Fax:
Mailing address:
  • Phone: 206-598-4070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP.AP.70167482-NP
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: