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Madison Goodwin

Student in an Organized Health Care Education/Training Program in Lacey, WA. Individual provider (NPI-1).

NPI number1336097864
StatusActive
Last updated in NPPESMar 19, 2026

Details

NPI
1336097864
Entity type
Individual (NPI-1)
Name
Madison Goodwin
Sex
Female
Sole proprietor
No
Enumeration date
Mar 19, 2026
Certification date
Mar 19, 2026
Last updated
Mar 19, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

8284 28th Ct Ne Ste A
Lacey, WA 98516-7161

Phone 360-915-3221 · Fax 360-890-4099

Mailing address

8284 28th Ct Ne Ste A
Lacey, WA 98516-7161

Phone 360-915-3221 · Fax 360-890-4099

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