Individual
ANDREA KIM GOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1125 NW 12TH AVE APT 1303, PORTLAND, OR 97209-3145
(503) 984-2548
Mailing address
6666 GREEN VALLEY CIR, CULVER CITY, CA 90230-7068
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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