Individual provider · NPI-1

Nicholas Peter Goodman, DO

Internal Medicine · Mount Vernon, WA

NPI number1487217345
StatusActive
Last updated in NPPESJun 9, 2026

Details

NPI
1487217345
Entity type
Individual (NPI-1)
Name
Nicholas Peter Goodman
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Apr 17, 2019
Certification date
Jun 9, 2026
Last updated
Jun 9, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine60041526WAYes
208M00000X HospitalistOP61273998WA

Practice location

Attn: Internal Medicine Residency
300 Hospital Parkway
Mount Vernon, WA 98273

Phone 360-424-4111

Mailing address

Attn: Internal Medicine Residency
300 Hospital Parkway
Mount Vernon, WA 98273

Phone 360-424-4111

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