Individual
GAYLE GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
THW
Contact information
Practice address
20395 SW ALMOND ST, ALOHA, OR 97003-2225
(503) 314-1086
Mailing address
20449 SW TV HWY # 337, ALOHA, OR 97003-1700
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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