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NPI Code Detail

MEDICARE: GABRIELLE GOODLIN MD

MEDICARE: GABRIELLE GOODLIN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianMD70018657WA
22081P0010XPediatric Rehabilitation Medicine PhysicianMD70018657WA

General Provider Information

NPI Number : 1528520210
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIELLE GOODLIN MD
Provider Business Mailing Address
First Line : PO BOX 50095
Second Line :
City : SEATTLE
State : WA
Zip : 98145-5095
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4800 SAND POINT WAY NE
Second Line :
City : SEATTLE
State : WA
Zip : 98105-3901
Country : US
Telephone Number : 206-987-2114
Fax Number : 206-987-2651
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2019
Last Update Date : 12/12/2025

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