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Search › Washington › 225X00000X

Ayumi Gothberg

NPI 1710836937 · on the registry since 2026

Practice

Address
14900 1st Ave Ne
Shoreline, WA 98155
Phone
(206) 279-3448
Organisation at this address
Premere Rehab Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Additional practice sites

  • 10000 Holman Rd Nw, Seattle, WA
  • 3200 Ne 45th St, Seattle, WA

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-01-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington