Goodkin, Peter E

Goodkin, Peter E is an sole proprietor health care provider with primary practice located at 9775 Se Sunnyside Road Suite 500, Clackamas OR 97015-5724. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Goodkin, Peter E can be contacted via phone (503) 654-7546.

Contact Information

Primary practice address
9775 Se Sunnyside Road Suite 500 Clackamas OR 97015-5724
Phone: (503) 654-7546
Fax: (503) 786-3542
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD09756 Oregon

Profile Details

NPI number 1225017288
LBN Legal business name Goodkin, Peter E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2006
Last updated Sep 24th, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225017288 NPPES
Oregon MEDICAID 057794

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