Individual
CYNTHIA SUE GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1794 SW BATTAGLIA AVE, GRESHAM, OR 97080-5733
(503) 667-8067
Mailing address
1794 SW BATTAGLIA AVE, GRESHAM, OR 97080-5733
(503) 667-8067
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2138
OR
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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