Individual
KATIE MAUREEN GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, 3RD FLOOR L475, PORTLAND, OR 97239-3011
(503) 494-8562
Mailing address
3181 SW SAM JACKSON PARK RD, 3RD FLOOR L475, PORTLAND, OR 97239-3011
(503) 494-8562
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16785
OR
Other
Enumeration date
01/07/2008
Last updated
02/04/2022
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