MICHAEL D GOODWIN (NPI# 1568756591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568756591 |
| Entity Type | Individual |
| Full Name | MICHAEL D GOODWIN |
| Credential | M.D. |
| Practice Address |
18040 Sw Lower Boones Ferry Rd Ste 100 Tigard OR 97224-7258 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 5032160700 |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2014-10-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD168276 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500673107 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548616642 | Michael Goodwin | Student in an Organized Health Care Education/Training Program | 51 N 39th St, Philadelphia, PA 19104-2640 | 2016-05-06 |
| 1447635743 | Michael B Goodwin | Social Worker | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2015-07-28 |
| 1649526955 | Michael Anthony Goodwin | Dentist | 1005 Long Prairie Rd, Suite 100, Flower Mound, TX 75022-4241 | 2012-07-24 |
| 1558674382 | Michael Eugene Goodwin | Physician Assistant | 4939 W Ray Rd, #4-508, Chandler, AZ 85226-2065 | 2010-07-21 |
| 1477734598 | Michael D Goodwin | Dentist | 11045 Broadway, Suite B, Crown Point, IN 46307-7474 | 2007-11-16 |
| 1386777928 | Michael W Goodwin | Psychologist | 576 State St, Springfield, MA 01109-4104 | 2007-03-13 |
| 1114017837 | Michael J Goodwin | Orthopaedic Surgery | 1000 Ashland Dr, Suite 103, Ashland, KY 41101-7057 | 2006-10-13 |
| 1619913845 | Michael J Goodwin | Physician Assistant | 619 19th Street South, Birmingham, AL 35233 | 2006-06-22 |
| 1053303529 | Michael Goodwin | Anesthesiology | 1140 Lexington Rd, Georgetown, KY 40324-9330 | 2005-08-19 |
| Street Address |
18040 SW LOWER BOONES FERRY RD STE 100 |
| City | TIGARD |
| State | OR |
| Zip Code | 97224-7258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952384430 | Pamela A. Devisser | Nurse Practitioner | 18040 Sw Lower Boones Ferry Rd, Suite 100, Tigard, OR 97224-7258 | 2005-11-29 |
| 1689211740 | Gabrielle Johnson | Specialist/Technologist | 18040 Sw Lower Boones Ferry Rd, Tigard, OR 97224-7258 | 2019-12-06 |
| 1326588708 | Susan Kathleen Glinka | Psychologist | 18040 Sw Lower Boones Ferry Rd, Suite 304, Tigard, OR 97224-7258 | 2017-03-03 |
| 1720402472 | Providence Health & Services - Oregon | Internal Medicine | 18040 Sw Lower Boones Ferry Rd, Suite 204, Tigard, OR 97224-7259 | 2014-02-14 |
| 1689097131 | Providence Health & Services - Oregon | Internal Medicine | 18040 Sw Lower Boones Ferry Rd, Suite 204, Tigard, OR 97224-7259 | 2014-02-03 |
| 1790113405 | Providence Health & Services - Oregon | Clinic/Center | 18040 Sw Lower Boones Ferry Rd, Suite 100, Tigard, OR 97224-7259 | 2013-10-16 |
| 1669726345 | Deborah Ann Jones | Physical Therapist | 18040 Sw Lower Boones Ferry Rd, Tigard, OR 97224-7258 | 2012-11-02 |
| 1568749539 | Heather Leann Adair | Physician Assistant | 18040 Sw Lower Boones Ferry Rd, Suite 100, Tigard, OR 97224-7258 | 2011-11-04 |
| 1245549724 | Providence Health & Services Oregon | Clinic/Center | 18040 Sw Lower Boones Ferry Rd, Suite 207, Tigard, OR 97224-7259 | 2010-09-30 |
| 1275842957 | Lisa Rose Lundin | Pharmacist | 18040 Sw Lower Boones Ferry Rd, Tigard, OR 97224-7258 | 2010-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154973139 | Katherine Raineri | Psychologist | 7213 Sw Hazel Fern Rd, Tigard, OR 97224 | 2019-07-10 |
| 1871064618 | Stacey A Wenzel | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Rd.,suite 201, Tigard, OR 97224 | 2018-12-05 |
| 1376010090 | Meredith Rae Brezinski | Physical Therapist | 18019 Sw Boones Ferry Road, Tigard, OR 97224 | 2018-10-31 |
| 1649759358 | Viktoriya A Chiliy | Behavior Technician | 15290 Sw Royalty Parkway, Tigard, OR 97224 | 2018-08-13 |
| 1609384866 | Rachel E King | Physical Therapist | 18040 Sw Lower Boones Ferry Rd Ste 200, Tigard, OR 97224 | 2018-01-22 |
| 1689190134 | Isabelle Cooper Klee Caballero | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Road Suite 201, Tigard, OR 97224 | 2017-08-16 |
| 1427573146 | Breanna M Sandefur | Behavior Technician | 15290 Sw Royalty Pkwy, Tigard, OR 97224 | 2017-08-03 |
| 1083141196 | Krista Espenship | Registered Nurse | 8032 Sw Ashford St, Tigard, OR 97224 | 2017-05-19 |
| 1275067928 | Emily Elizabeth Myers | Behavioral Analyst | 15290 Royalty Parkway, Tigard, OR 97224 | 2017-04-19 |
| 1235684937 | Melanie Salvador | Nurse Practitioner | 15352 Sw Oakmont Pl, Tigard, OR 97224 | 2016-08-23 |
| Find all providers in zip 97224 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316569635 | Doctors On Video | Family Medicine | 13215 Sw Hawks Beard St Apt 726, Tigard, OR 97223-2125 | 2020-05-08 |
| 1699060780 | Michael Keith Phelps | Family Medicine | 16083 Sw Upper Boones Ferry Rd, Suite 320, Tigard, OR 97224-7736 | 2011-06-16 |
| 1598953853 | Sheryl Adrienne Andress | Family Medicine | 7421 Sw Bridgeport Rd Ste 220, Tigard, OR 97224-7707 | 2007-10-11 |
| 1891881223 | Karla J Wottge | Family Medicine | 18040 Sw Lower Boones Ferry Rd Ste 100, Tigard, OR 97224-7259 | 2006-10-05 |
| 1386695732 | Katrenka R Rember | Family Medicine | 13200 Sw Pacific Hwy, Tigard, OR 97223 | 2006-05-12 |
| 1528031630 | Tanya Elizabeth Carter | Family Medicine | 9385 Sw Locust St # Dt, Tigard, OR 97223-6632 | 2006-02-09 |
| 1023005410 | Michael Shihjay Chen | Family Medicine | 9250 Sw Hall Blvd, Tigard, OR 97223-6721 | 2005-09-30 |
| 1346621232 | Vihangi Hindagolla | Family Medicine | 18040 Sw Lower Boones Ferry Rd Ste 304, Tigard, OR 97224-7259 | 2015-06-16 |
| 1205236445 | Bridgeport Family Medicine LLC | Family Medicine | 16083 Sw Upper Boones Ferry Rd, Ste 320, Tigard, OR 97224-7736 | 2014-08-25 |
| 1952735086 | Andrea Rose Tremaine | Family Medicine | 16083 Sw Upper Boones Ferry Rd Ste 130, Tigard, OR 97224-7737 | 2013-08-26 |
| Find all providers in TIGARD | ||||
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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.