Individual
MR. BRADLY ALLEN GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5840 NW BIGGS ST STE A, NEWPORT, OR 97365-1157
(541) 409-9481
(541) 768-9361
Mailing address
PO BOX 2629, WALDPORT, OR 97394-2629
(541) 409-9481
(541) 768-9361
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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