Individual
OLGA GODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PA-C
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 484-8534
(503) 494-3257
Mailing address
1808 NE 62ND AVE, PORTLAND, OR 97213-4152
(971) 533-2190
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA191351
OR
Other
Enumeration date
05/16/2019
Last updated
05/16/2019
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