Individual
DR. MATTHEW DONOVAN GOODHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
17050 PILKINGTON RD., SUITE 230, LAKE OSWEGO, OR 97035
(503) 636-6644
(503) 635-3099
Mailing address
17050 PILKINGTON RD., SUITE 230, LAKE OSWEGO, OR 97035
(503) 636-6644
(503) 635-3099
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7615
OR
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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