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Individual

DAVID WHITSITT GOODSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAC

Contact information

Practice address
3526 NE 57TH AVE, PORTLAND, OR 97213-1737
(503) 335-9440
Mailing address
3526 NE 57TH AVE, PORTLAND, OR 97213-1737
(503) 335-9440

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC00002995
WA
171100000X
Acupuncturist
Primary
AC01221
OR

Other

Enumeration date
09/08/2016
Last updated
09/08/2016
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