Goodman, Mark Quincy

Goodman, Mark Quincy is an individual health care provider with primary practice located at 1253 Nw Canal Blvd , Redmond OR 97756-1334. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Goodman, Mark Quincy can be contacted via phone (541) 548-8131.

Contact Information

Primary practice address
1253 Nw Canal Blvd Redmond OR 97756-1334
Phone: (541) 548-8131
Fax: (541) 526-6608
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD160709 Oregon
Allopathic & Osteopathic Physicians / Sports Medicine 207PS0010X MD160709 Oregon
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X MD160709 Oregon

Profile Details

NPI number 1609018860
LBN Legal business name Goodman, Mark Quincy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2009
Last updated Feb 16th, 2022 - about 2 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 1609018860 NPPES
Other 1609018860 NPI

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