Individual
ANGELA RAE GOODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN WCC
Contact information
Practice address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031
(503) 499-5200
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031
(503) 499-5200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
61376257
WA
163WC1600X
Continuing Education/Staff Development Registered Nurse
Primary
200441282RN
OR
163WW0000X
Wound Care Registered Nurse
WCC217160
OR
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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