Goodwin, Jon Lee

Goodwin, Jon Lee is an individual health care provider with primary practice located at 12885 Nw Cornell Road , Portland OR 97229-5813. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Goodwin, Jon Lee can be contacted via phone (503) 646-3200.

Contact Information

Primary practice address
12885 Nw Cornell Road Portland OR 97229-5813
Phone: (503) 646-3200
Fax: (503) 646-2397
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X D6170 Oregon

Profile Details

NPI number 1467589648
LBN Legal business name Goodwin, Jon Lee
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Jul 8th, 2007 - about 17 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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