| NPI | 1649817354 |
|---|---|
| Other Name | MARK T GOODMAN DC |
| Entity Type | Organization |
| Authorized Contact | MARK THOMAS GOODMAN Owner/President 360-377-1626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2021-04-30 |