Organization
KATHLEEN GOFORTH, LAC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN GOODWIN GOFORTH MACOOM (ACUPUNCTURIST, MASSSAGE THERAPIST)
(503) 887-4425
Entity
Organization
Contact information
Practice address
2805 NE MLK, PORTLAND, OR 97212-3039
(503) 887-4425
Mailing address
2805 NE MLK, PORTLAND, OR 97212-3039
(503) 887-4425
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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