Individual
MS. MELANIE M GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAS, CADC II
Contact information
Practice address
10330 SE 32ND AVE STE 325, PORTLAND, OR 97222-6656
(720) 758-0391
Mailing address
110 N TOMAHAWK ISLAND DR APT 139, PORTLAND, OR 97217-7813
(720) 758-0391
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
25-R32
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACC.0021371
CO
Other
Enumeration date
05/10/2025
Last updated
12/31/2025
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