Individual
COLLIN GODBEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
2600 SE BELMONT ST, PORTLAND, OR 97214-2916
(503) 239-5738
(503) 963-9026
Mailing address
2600 SE BELMONT ST, PORTLAND, OR 97214-2916
(503) 239-5738
(503) 963-9026
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
202212339LPN
OR
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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