Provider Demographics
NPI:1225800345
Name:DAWN GOSNEY
Entity Type:Organization
Organization Name:DAWN GOSNEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:GOSNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-991-4748
Mailing Address - Street 1:7509 S 5TH ST
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:WA
Mailing Address - Zip Code:98642-7157
Mailing Address - Country:US
Mailing Address - Phone:360-997-4748
Mailing Address - Fax:
Practice Address - Street 1:7509 S 5TH ST
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:WA
Practice Address - Zip Code:98642-7157
Practice Address - Country:US
Practice Address - Phone:360-997-4748
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGroup - Single Specialty