Individual
JILLIAN LOUISE GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3425 SW BRENTWOOD DR, PORTLAND, OR 97201-1619
(413) 427-2217
Mailing address
3425 SW BRENTWOOD DR, PORTLAND, OR 97201-1619
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
Primary
—
—
Other
Enumeration date
02/18/2026
Last updated
02/18/2026
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