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Gayle Goodman, THW

Peer Specialist in Aloha, OR. Individual provider (NPI-1).

NPI number1427720697
StatusActive
Last updated in NPPESOct 5, 2021

Details

NPI
1427720697
Entity type
Individual (NPI-1)
Name
Gayle Goodman
Credential
THW
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 5, 2021
Certification date
Oct 5, 2021
Last updated
Oct 5, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes

Practice location

20395 Sw Almond St
Aloha, OR 97003-2225

Phone 503-314-1086

Mailing address

20449 Sw Tv Hwy # 337
Aloha, OR 97003-1700

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Peer Specialist providers in Aloha, OR

All 13 Peer Specialist providers in Aloha · All 457 providers in Aloha

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