Individual
JARED CHRISTIAN GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24988 SE STARK ST STE 220, GRESHAM, OR 97030-8324
(503) 674-1580
Mailing address
24988 SE STARK ST STE 220, GRESHAM, OR 97030-8324
(503) 674-1580
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
05/29/2019
Last updated
02/11/2026
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