Individual
THOMAS GODFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12725 SW 66TH AVE STE 107, PORTLAND, OR 97223-2546
(503) 430-7699
(503) 430-8374
Mailing address
5200 S HIGHLAND DR STE 200, HOLLADAY, UT 84117-7003
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
07/28/2016
Last updated
02/07/2019
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