# OSTEOPATHIC MEDICAL ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457555666
- **Authorized official:** MR. EDWARD KEIM GOERING D.O. (OWNER)
- **Authorized official phone:** (503) 236-2303

## Contact information

- **Practice address:** 6564 SE LAKE RD STE 101, MILWAUKIE, OR 97222-2138
- **Practice address phone:** (503) 236-2303
- **Practice address fax:** (503) 236-2614
- **Mailing address:** 6564 SE LAKE RD STE 101, MILWAUKIE, OR 97222-2138
- **Mailing address phone:** (503) 236-2303
- **Mailing address fax:** (503) 236-2614

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 433453 | OR | Yes |
| 207Q00000X | Family Medicine Physician | 433453 | OR | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 433453 | OR | — |
| 363A00000X | Physician Assistant | 433453 | OR | — |

## Other

- **Enumeration date:** 06/12/2007
- **Last updated:** 07/08/2008