Individual
DANIEL FREMONT GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9427 SW BARNES RD STE 495, PORTLAND, OR 97225-6612
(503) 216-1661
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
A85849
CA
207RC0000X
Cardiovascular Disease Physician
Primary
MD179707
OR
Other
Enumeration date
03/21/2007
Last updated
03/10/2021
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