Individual
MEGAN M GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4262 N VANCOUVER AVE APT 221, PORTLAND, OR 97217-2995
(808) 388-7009
Mailing address
4262 N VANCOUVER AVE APT 221, PORTLAND, OR 97217-2995
(808) 388-7009
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
202005440RN
OR
Other
Enumeration date
09/12/2020
Last updated
09/12/2020
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