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

Penny Goudelock, PA

Individual provider Medical Physician Assistant · NPI 1043433352

Penny Goudelock, PA is a Medical Physician Assistant in Everett, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1100 Pacific Ave Ste 202
Everett, WA 98201-4261
Phone: (425) 388-4075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA10005160 (WA)

Record details

NPI number1043433352
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 11, 2007
Last updated in NPPESApril 14, 2020
Certification dateApril 14, 2020

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