Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Misty Marie Crick-Goodman, LE

Individual provider Other Specialist/Technologist · NPI 1154030401

Mrs. Misty Marie Crick-Goodman, LE is an Other Specialist/Technologist in Bonney Lake, Washington. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

20622 108th Street Ct E
Bonney Lake, WA 98391-7969
Phone: (253) 332-3173
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Other Specialist/Technologist (primary) Taxonomy 246Z00000X · Licence 9756 (CA)

Record details

NPI number1154030401
Entity typeIndividual (Type 1)
GenderFemale
Credentials LE
Sole proprietorYes
NPI enumeratedNovember 15, 2022
Last updated in NPPESNovember 15, 2022
Certification dateNovember 15, 2022

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