Organization
OSTEOPATHIC MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD KEIM GOERING D.O. (OWNER)
(503) 236-2303
Entity
Organization
Contact information
Practice address
6564 SE LAKE RD STE 101, MILWAUKIE, OR 97222-2138
(503) 236-2303
(503) 236-2614
Mailing address
6564 SE LAKE RD STE 101, MILWAUKIE, OR 97222-2138
(503) 236-2303
(503) 236-2614
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
433453
OR
207Q00000X
Family Medicine Physician
433453
OR
208100000X
Physical Medicine & Rehabilitation Physician
433453
OR
363A00000X
Physician Assistant
433453
OR
Other
Enumeration date
06/12/2007
Last updated
07/08/2008
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