Provider Demographics
NPI:1992909188
Name:GOUGH, FRANCES MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCES
Middle Name:MARIE
Last Name:GOUGH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4241 92ND AVE NE
Mailing Address - Street 2:
Mailing Address - City:YARROW POINT
Mailing Address - State:WA
Mailing Address - Zip Code:98004-1324
Mailing Address - Country:US
Mailing Address - Phone:425-890-6012
Mailing Address - Fax:425-453-6617
Practice Address - Street 1:1525 4TH AVE
Practice Address - Street 2:#300
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-1607
Practice Address - Country:US
Practice Address - Phone:206-838-6856
Practice Address - Fax:206-838-3085
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2012-02-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WA29391207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine