Healthcare Provider Details

I. General information

NPI: 1063347730
Provider Name (Legal Business Name): MRS. SALIEM GOYTOM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12816 60TH LN S APT C5
SEATTLE WA
98178-3587
US

IV. Provider business mailing address

12816 60TH LN S
SEATTLE WA
98178-3587
US

V. Phone/Fax

Practice location:
  • Phone: 206-637-5564
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: