Individual
DR. BENJAMIN JAMES GOUDREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
222 AUBURN ST STE 102, PORTLAND, ME 04103-6005
(508) 742-5037
Mailing address
63 GREENWOOD LN, PORTLAND, ME 04103-1609
(508) 742-5037
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR2383
ME
Other
Enumeration date
08/18/2014
Last updated
01/07/2020
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