Godwin, John E
Godwin, John E is an individual health care provider with primary practice located at 4805 Ne Glisan St Ste 6N40 , Portland OR 97213-2933. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Hematology is his primary health care specialty. Godwin, John E can be contacted via phone (503) 215-5696.Contact Information
Primary practice address
4805 Ne Glisan St Ste 6N40
Portland OR 97213-2933
Phone: (503) 215-5696
Fax: (217) 545-4788
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | MD157208 | Oregon |
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | MD157208 | Oregon |
Profile Details
| NPI number | 1700863677 |
|---|---|
| LBN Legal business name | Godwin, John E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 30th, 2005 |
| Last updated | Jan 18th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700863677 | NPPES |
| Illinois | MEDICAID | 36070909 | |
| Illinois | MEDICAID | 500649299 |
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