| Jake Goyden Md Pllc | |
|
2910 E Madison St Ste 103 Seattle WA 98112-4214 | |
| (208) 659-1883 | |
| Not Available |
| Full Name | Jake Goyden Md Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2910 E Madison St Ste 103, Seattle, Washington |
| Authorized Official Name and Position | Jacob Goyden (PRINCIPAL) |
| Authorized Official Contact | 2066591883 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jake Goyden Md Pllc 2910 E Madison St Ste 103 Seattle WA 98112-4214 Ph: () - | Jake Goyden Md Pllc 2910 E Madison St Ste 103 Seattle WA 98112-4214 Ph: (208) 659-1883 |
| NPI Number | 1043096647 |
|---|---|
| Provider Enumeration Date | 09/07/2023 |
| Last Update Date | 09/07/2023 |
| Certification Date | 09/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043096647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
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