Provider Demographics
NPI:1740415140
Name:E CAROL GOETTER MD INC
Entity Type:Organization
Organization Name:E CAROL GOETTER MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ANESTHESIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:CAROL
Authorized Official - Last Name:GOETTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:360-466-3299
Mailing Address - Street 1:1020 34TH ST
Mailing Address - Street 2:
Mailing Address - City:ANACORTES
Mailing Address - State:WA
Mailing Address - Zip Code:98221-4206
Mailing Address - Country:US
Mailing Address - Phone:360-588-8457
Mailing Address - Fax:360-588-8467
Practice Address - Street 1:1211 24TH ST
Practice Address - Street 2:
Practice Address - City:ANACORTES
Practice Address - State:WA
Practice Address - Zip Code:98221-2562
Practice Address - Country:US
Practice Address - Phone:425-261-3092
Practice Address - Fax:425-261-3926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-29
Last Update Date:2014-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00026003207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty