Individual
CHAD R GOINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD28655
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0161189
L AND I
WA
05
—
026201
—
OR
05
—
8314437
—
WA
01
—
MD28655
OREGON STATE MEDICAL LICENSE
OR
Enumeration date
12/23/2005
Last updated
10/13/2022
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