Individual
JEANINE MARIE GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHP
Contact information
Practice address
110 BEAVERCREEK RD, OREGON CITY, OR 97045-4307
(503) 655-8471
Mailing address
320 LINCOLN ST APT 101, FAIRVIEW, OR 97024-3772
(503) 381-5577
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/10/2019
Last updated
07/16/2019
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