Individual
RILEY RICHARD GOODRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 FODEN RD, EAST, STE 203, SOUTH PORTLAND, ME 04106-2327
(207) 874-1489
(207) 523-8590
Mailing address
100 GANNETT DR STE C, SOUTH PORTLAND, ME 04106-5900
(207) 347-2947
(207) 874-2317
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAN1826
ME
Other
Enumeration date
08/16/2018
Last updated
03/19/2026
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