Individual
SAGE ELIZABETH GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1815 SW MARLOW AVE, PORTLAND, OR 97225-5185
(503) 292-0765
Mailing address
33909 NE CORRAL CREEK RD, NEWBERG, OR 97132-7118
(818) 462-6308
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
64839
OR
Other
Enumeration date
02/08/2023
Last updated
02/08/2023
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