IndividualActive
Misty Crick-Goodman, LE
NPI 1154030401 · Other Specialist/Technologist · Bonney Lake, WA
Provider details
- NPI number
- 1154030401
- Entity type
- Individual
- Primary specialty
- Other Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- LE
- Sex
- Female
- Sole proprietor
- Yes
- License
- 9756 (CA)
Practice location
20622 108th Street Ct E
Bonney Lake, WA 98391-7969
Phone: (253) 332-3173
Mailing address
20622 108th Street Ct E
Bonney Lake, WA 98391-7969
Registry dates
- Enumerated
- 2022-11-15
- Last updated
- 2022-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.