Individual
TINA GOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMA, QMHA
Contact information
Practice address
625 NE GALLOWAY ST, MCMINNVILLE, OR 97128-3933
(503) 434-7523
Mailing address
627 NE EVANS ST, MCMINNVILLE, OR 97128-3923
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
003771
OR
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
01/07/2019
Last updated
06/23/2023
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