RENEE NICOLE GOODREAU


Address: 24850 Se Stark St, Suite 200, Gresham, OR 97030-8316
Phone: 5034919444

RENEE NICOLE GOODREAU (NPI# 1770787681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770787681
Entity Type Individual
Full Name RENEE NICOLE GOODREAU
Credential M.D.
Practice Address 24850 Se Stark St
Suite 200
Gresham
OR 97030-8316
Practice Telephone 5034919444
Practice Fax Number 5036613430
Mailing Telephone 5034919444
Mailing Fax Number 5036613430
Enumeration Date 2007-06-13
Last Update Date 2012-01-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology MD151414 OR Allopathic & Osteopathic Physicians

Office Location

Street Address 24850 SE STARK ST
SUITE 200
City GRESHAM
State OR
Zip Code 97030-8316

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164426110 Julia W Mason Pediatrics 24850 Se Stark St, Suite 150, Gresham, OR 97030-8316 2005-06-08
1124575139 Gretchen Ann Grooms Massage Therapist 24850 Se Stark St, Suite 200, Gresham, OR 97030-8316 2016-09-07
1629286273 Northwest Oral & Maxillofacial Surgeons, LLC Dentist 24850 Se Stark St, Suite 100, Gresham, OR 97030-8316 2007-05-18
1164547634 Jennifer Marie Boom Massage Therapist 24850 Se Stark St, Suite 200, Gresham, OR 97030-8316 2007-03-21
1063558807 June Ellen Hobbs Advanced Practice Midwife 24850 Se Stark St, Suite 200, Gresham, OR 97030-8316 2007-01-29
1801968086 Mt Hood Women's Health PC Clinic/Center 24850 Se Stark St, Suite 200, Gresham, OR 97030 2006-11-14
1427066554 Kelly Annette Carter Obstetrics & Gynecology 24850 Se Stark St, Suite 200, Gresham, OR 97030-8316 2006-08-04
1982612024 Michelle Cecile Champagne Obstetrics & Gynecology 24850 Se Stark St, Suite 200, Gresham, OR 97030-8316 2006-08-04
1841208972 Sandra Ann Collis Obstetrics & Gynecology 24850 Se Stark St, Suite 200, Gresham, OR 97030-8316 2006-08-04
1821006958 Anne Meredith Knudsen Obstetrics & Gynecology 24850 Se Stark St, Suite 200, Gresham, OR 97030-8316 2006-08-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174032312 Tiffany Chen Occupational Therapist 304 Ne Hood Ave., Gresham, OR 97030 2017-09-20
1225568454 Goldstar Vascular Access, Inc Home Infusion 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 2017-06-20
1861940454 Jessica Morrow Massage Therapist 1748 Nw Fairview Dr., Gresham, OR 97030 2016-09-13
1033665898 Bonita Baxter Counselor 400 Ne 7th Street, Gresham, OR 97030 2016-08-31
1710335484 Ethan William Hoccom Counselor 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 2016-06-02
1992159610 Kathleen Kline, Lmt Massage Therapist 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 2016-04-19
1215390109 The Wallace Medical Concern Nurse Practitioner 254 Nw Burnside Road, Gresham, OR 97030 2016-03-30
1932568912 Atchison Dialysis, LLC Clinic/Center 878 Nw Burnside Rd, Gresham, OR 97030 2016-02-18
1912374034 Hilary Dawn Montgomery Counselor 1326 Nw Civic Dr # 5569, Gresham, OR 97030 2015-08-24
1992171730 Melissa E Childs Massage Therapist 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 2015-08-17
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376840249 Daniel Marvin Patchin Obstetrics & Gynecology 4215 Se Regner Rd, Gresham, OR 97080-9464 2011-02-11
1386893444 Diana Gill Obstetrics & Gynecology 2150 Ne Divison Street, Suite 202 Gresham Women's Healthcare, P.C., Gresham, OR 97030 2008-09-15
1356500821 Mary Fariba Afsari-howard Obstetrics & Gynecology 2150 Ne Division St. Suite 202, Gresham Women's Healthcare, P.C., Gresham, OR 97030-5859 2008-06-09
1255513701 Gresham Women's Healthcare, PC Obstetrics & Gynecology 2150 Ne Division St Ste 202, Gresham, OR 97030-5859 2007-11-27
1558777342 Britta Ameel Obstetrics & Gynecology 24850 Se Stark St Ste 200, Gresham, OR 97030-8320 2014-07-01
1770809303 Audra Rachelle Norris-jacob Obstetrics & Gynecology 24850 Se Stark St Ste 200, Gresham, OR 97030-8320 2010-04-07
1992039309 Monica Elizabeth Venn Obstetrics & Gynecology 24850 Se Stark St Ste 200, Gresham, OR 97030-8320 2009-10-01
1427066554 Kelly Annette Carter Obstetrics & Gynecology 24850 Se Stark St, Suite 200, Gresham, OR 97030-8316 2006-08-04
1982612024 Michelle Cecile Champagne Obstetrics & Gynecology 24850 Se Stark St, Suite 200, Gresham, OR 97030-8316 2006-08-04
1841208972 Sandra Ann Collis Obstetrics & Gynecology 24850 Se Stark St, Suite 200, Gresham, OR 97030-8316 2006-08-04
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City GRESHAM
Zip Code 97030

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Dataset Information

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.

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