Individual
CHERICE F GODARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17440 BOONES FERRY RD, LAKE OSWEGO, OR 97035-5220
(503) 770-4663
Mailing address
12721 SW 108TH TER, TIGARD, OR 97223-4299
(503) 984-8754
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
10/04/2017
Last updated
03/17/2018
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