Marc W. Goodboy, PA-C
Surgical PA · Puyallup, WA
UnclaimedPA-CNPI 1790704815
- Primary taxonomy
- 363AS0400X
- Enumerated
- 2006-07-19
- Practice location
- Puyallup, WA
- Last NPPES update
- 2016-02-22
State licenses
- ND · Physician assistant · NPPES self-reportedListed on NPI record
- WA · Physician assistant · NPPES self-reportedListed on NPI record
- WA · Physician assistant · Physician Assistant LicenseExpiredthrough 2023
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.