# DR. MARK QUINCY GOODMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1609018860
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | MD160709 | OR | — |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | MD160709 | OR | — |
| 207PS0010X | Sports Medicine (Emergency Medicine) Physician | MD160709 | OR | Yes |

## Other

- **Enumeration date:** 04/01/2009
- **Last updated:** 03/30/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1609018860 | NPI | — |