Individual
STEPHEN L GODSIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
9900 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9777
(800) 813-2000
Mailing address
500 NE MULTNOMAH ST FL 11, PORTLAND, OR 97232-2023
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA174480
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013864
KAISER-COMMERCIAL NUMBER
—
05
—
41388020
—
CO
Enumeration date
02/27/2007
Last updated
09/12/2025
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