DR. KIMBERLY R GOODALE (NPI# 1427260249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427260249 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY R GOODALE |
| Credential | PSY.D. |
| Practice Address |
9400 Sw Beaverton Hillsdale Hwy Suite 205 Beaverton OR 97005-3315 |
| Practice Telephone | 5036847246 |
| Practice Fax Number | 5036240724 |
| Mailing Telephone | 5036847246 |
| Mailing Fax Number | 5036240724 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2017-01-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1743 | OR | Behavioral Health & Social Service Providers |
| N | 103TH0004X |
Psychologist Specialization: Health |
1743 | OR | Behavioral Health & Social Service Providers |
| Street Address |
9400 SW BEAVERTON HILLSDALE HWY SUITE 205 |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97005-3315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649215336 | Bradford Benton Lorber | Specialist | 9400 Sw Beaverton Hillsdale Hwy, Suite 205, Beaverton, OR 97005-3315 | 2006-06-18 |
| 1699215723 | Stephanie Fouts | Occupational Therapist | 9400 Sw Beaverton Hillsdale Hwy, Ste. 210, Beaverton, OR 97005-3315 | 2017-03-08 |
| 1427447051 | Melissa Polensky | Occupational Therapy Assistant | 9400 Sw Beaverton Hillsdale Hwy, Ste 210, Beaverton, OR 97005-3315 | 2015-01-20 |
| 1184054926 | Amy Danielson | Occupational Therapist | 9400 Sw Beaverton Hillsdale Hwy, Suite 205, Beaverton, OR 97005-3315 | 2013-11-14 |
| 1447689336 | Tiffaney Culligan | Speech-Language Pathologist | 9400 Sw Beaverton Hillsdale Hwy, Suite 210, Beaverton, OR 97005-3315 | 2013-11-01 |
| 1295979805 | Andrew Gaylord Barnes | Psychologist | 9400 Sw Beaverton Hillsdale Hwy, Suite 205, Beaverton, OR 97005-3315 | 2009-04-27 |
| 1336326917 | Hai Tien Tran | Physical Medicine & Rehabilitation | 9400 Sw Beaverton Hillsdale Hwy, Suite 205, Beaverton, OR 97005-3315 | 2008-01-26 |
| 1699705244 | John Edward Hamby | Specialist | 9400 Sw Beaverton Hillsdale Hwy, Suite 205, Beaverton, OR 97005-3315 | 2006-07-03 |
| 1740218015 | Allan Michael Leland | Clinical Neuropsychologist | 9400 Sw Beaverton Hillsdale Hwy, Suite 205, Beaverton, OR 97005-3315 | 2006-06-28 |
| 1407882772 | Northwest Occupational Medicine Center Inc. | Clinic/Center | 9400 Sw Beaverton Hillsdale Hwy, Suite 205, Beaverton, OR 97005-3315 | 2006-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945053 | Krista Lowe Schimmelbusch | Student in an Organized Health Care Education/Training Program | 12730 Sw 3rd St., Beaverton, OR 97005 | 2020-06-05 |
| 1346882578 | Mireya Elissa Nunez I | Counselor | 12665 Sw Center Street, Suite 100, Beaverton, OR 97005 | 2019-10-09 |
| 1548816879 | Logan James Patzlaff | Behavior Technician | 6200 Sw Artic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-08-13 |
| 1528521424 | Alex Taylor Foerman | Behavior Technician | 6200 Sw Arctic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-04-09 |
| 1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
| 1992286348 | Kathryn Wallner | Counselor | 14205 Sw Farmington Road, Suite 160, Beaverton, OR 97005 | 2018-08-23 |
| 1699265058 | Meaghan Mikulic | Social Worker | 14355 Sw Allen Blvd Suite 150, Beaverton, OR 97005 | 2018-05-11 |
| 1629568936 | Aimee J Nelson | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 | 2018-05-11 |
| 1093221780 | Ember Dahl | Massage Therapist | 12655 Sw Center St Ste 530, Beaverton, OR 97005 | 2017-12-18 |
| 1033667456 | Andre Vo | Pharmacist | 2575 Sw Walker Rd, Beaverton, OR 97005 | 2016-09-14 |
| Find all providers in zip 97005 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659916401 | Northwest Child Assessment, LLC | Psychologist | 8228 Sw 171st Pl, Beaverton, OR 97007-6787 | 2019-11-14 |
| 1801445952 | Tamara Tasker | Psychologist | 9244 Sw 149th Ave, Beaverton, OR 97007-8558 | 2019-09-10 |
| 1598047045 | Dianna Harris | Psychologist | 10700 Sw Beaverton Hillsdale Hwy Ste 460, Beaverton, OR 97005-4736 | 2011-09-11 |
| 1457529190 | Laurel Ellen Hughes | Psychologist | 13725 Sw Berthold St, Beaverton, OR 97005-4353 | 2008-02-15 |
| 1538364617 | Kathryn Elizabeth Marshall | Psychologist | 1140 Sw 160th Ave, Beaverton, OR 97006-5055 | 2007-06-18 |
| 1417174020 | Joe D Wood Jr. | Psychologist | 11160 Sw Wood Duck Pl, Beaverton, OR 97007-8295 | 2007-04-18 |
| 1003936196 | Allan F. Chino | Psychologist | 195 Sw 144th Ave, Beaverton, OR 97006-5954 | 2007-03-30 |
| 1508993809 | Erica Heather Vo | Psychologist | 6107 Sw Murray Blvd # 306, Beaverton, OR 97008-4421 | 2007-02-27 |
| 1356499008 | Steven Malone | Psychologist | 3800 Sw Cedar Hills Blvd Ste 229, Beaverton, OR 97005-4761 | 2007-01-08 |
| 1396850129 | Deborah Lee Winer | Psychologist | 10700 S.w. Beaverton-hillsdale Highway, Suite 500, Beaverton, OR 97005-3037 | 2006-08-20 |
| Find all providers in BEAVERTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.