NPI 1225017288 · live from the CMS NPI Registry
Peter E Goodkin, MD
Dermatology in Clackamas, OR. National Provider Identifier 1225017288, active.
NPI record
| NPI | 1225017288 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 9775 Se Sunnyside Road, Suite 500, Clackamas, OR 97015 |
| Practice phone | 503-654-7546 |
| Enumerated | January 10, 2006 |
| Last updated | September 24, 2010 |
| Sole proprietor | Yes |
| Other names | Peter Goodkin |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | MD09756 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.