Individual
DR. SHAWN GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9735 SW SHADY LANE, SUITE 203, TIGARD, OR 97223
(503) 634-4436
(503) 635-7356
Mailing address
9735 SW SHADY LANE, SUITE 203, TIGARD, OR 97223
(503) 634-4436
(503) 635-7356
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD13435
OR
207W00000X
Ophthalmology Physician
MD13455
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121533
—
OR
Enumeration date
05/26/2006
Last updated
08/15/2014
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