Individual
MR. MELVIN DOUGLAS GOODMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DR
Contact information
Practice address
11807 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 97267
(503) 657-0399
(503) 657-4903
Mailing address
11807 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 97267
(503) 657-0399
(503) 657-4903
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14625
OR
Other
Enumeration date
07/07/2005
Last updated
07/08/2007
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