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Individual

DR. DENISE GOODWIN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
2043 COLLEGE WAY, FOREST GROVE, OR 97116-1756
(503) 352-3007
Mailing address
21380 NW ROCK CREEK BLVD, PORTLAND, OR 97229-1044

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2701T
OR

Other

Enumeration date
11/23/2005
Last updated
07/08/2007
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