Jay Maury Goodman, MD
Internal Medicine in Portland, OR. Individual provider (NPI-1).
NPI number1205410065
StatusActive
Last updated in NPPESMay 7, 2021
Details
- NPI
- 1205410065
- Entity type
- Individual (NPI-1)
- Name
- Jay Maury Goodman
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 7, 2021
- Certification date
- May 7, 2021
- Last updated
- May 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | MD09880 | OR | Yes |
Practice location
3024 Se Woodstock BlvdPortland, OR 97202-8136
Phone 541-260-2399
Mailing address
Po Box 82234Portland, OR 97282-0234
Phone 541-260-2399
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