NPI 1467589648 · live from the CMS NPI Registry
Jon Lee Goodwin, DMD
Dentist, Orthodontics and Dentofacial Orthopedics in Portland, OR. National Provider Identifier 1467589648, active.
NPI record
| NPI | 1467589648 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 12885 Nw Cornell Road, Portland, OR 97229 |
| Practice phone | 503-646-3200 |
| Enumerated | February 27, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | D6170 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.