Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | MD 60484309 | WA |
Y | 208D00000X | General Practice Physician | A101036 | CA |
NPI | 1023167897 |
---|---|
Provider Name | Dr. Ryan K Gould |
First Address | Seattle, WA 98104-2420 |
Second Address | Seattle, WA 98104-2420 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2007 |
Last Update Date | 11/08/2014 |