Individual
DR. JAMES E. GOEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-5472
(541) 768-5111
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD21154
OR
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD21154
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050063900
RR MEDICARE
OR
05
—
129973
—
OR
05
—
8228926
—
WA
05
—
XPY197566
—
CA
Enumeration date
03/01/2006
Last updated
01/31/2024
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