Goodman, Shawn
Goodman, Shawn is an individual health care provider with primary practice located at 9735 Sw Shady Lane Suite 203, Tigard OR 97223. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Goodman, Shawn can be contacted via phone (503) 634-4436.Contact Information
Primary practice address
9735 Sw Shady Lane Suite 203
Tigard OR 97223
Phone: (503) 634-4436
Fax: (503) 635-7356
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD13455 | Oregon |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD13435 | Oregon |
Profile Details
| NPI number | 1861448177 |
|---|---|
| LBN Legal business name | Goodman, Shawn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Aug 15th, 2014 - about 10 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 | 1861448177 | NPPES |
| Oregon | MEDICAID | 121533 |
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