Individual
TABITHA SPRING GOODIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
594 HAMILTON ST, SPRINGFIELD, OR 97477-3609
(541) 350-6649
Mailing address
594 HAMILTON ST, SPRINGFIELD, OR 97477-3609
(541) 350-6649
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201703537RN
OR
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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