# RANDALL L GOODE MD PC

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

## Provider details

- **NPI number:** 1629394663
- **Authorized official:** DR. RANDALL L GOODE MD (OWNER)
- **Authorized official phone:** (503) 372-2740

## Contact information

- **Practice address:** 973 MICA DR, CARSON CITY, NV 89705-7255
- **Practice address phone:** (775) 267-2992
- **Mailing address:** PO BOX 4300, MS 01, PORTLAND, OR 97208-4300
- **Mailing address phone:** (503) 372-2740
- **Mailing address fax:** (503) 372-2755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 8585 | NV | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | 8585 | NV | — |

## Other

- **Enumeration date:** 04/15/2010
- **Last updated:** 04/15/2010