Individual
JOHN CHRISTOPHER GODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10180 SE SUNNYSIDE RD, SUNNYBROOK MEDICAL BUILDING, DEPT OF OTOLARYNGOLOGY, CLACKAMAS, OR 97015-8970
(503) 571-3495
(503) 571-9004
Mailing address
10180 SE SUNNYSIDE RD, SUNNYBROOK MEDICAL BUILDING, DEPT OF OTOLARYNGOLOGY, CLACKAMAS, OR 97015-8970
(503) 571-3495
(503) 571-9004
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD166617
OR
207YX0901X
Otology & Neurotology Physician
A107625
CA
207YX0901X
Otology & Neurotology Physician
MD 60454681
WA
207YX0901X
Otology & Neurotology Physician
MD166617
OR
207YX0901X
Otology & Neurotology Physician
ME 109697
FL
Other
Enumeration date
10/12/2006
Last updated
08/01/2014
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