Godwin, John E

Godwin, John E is an individual health care provider with primary practice located at 4805 Ne Glisan St Ste 6N40 , Portland OR 97213-2933. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Hematology is his primary health care specialty. Godwin, John E can be contacted via phone (503) 215-5696.

Contact Information

Primary practice address
4805 Ne Glisan St Ste 6N40 Portland OR 97213-2933
Phone: (503) 215-5696
Fax: (217) 545-4788
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD157208 Oregon
Allopathic & Osteopathic Physicians / Hematology 207RH0000X MD157208 Oregon

Profile Details

NPI number 1700863677
LBN Legal business name Godwin, John E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Jan 18th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700863677 NPPES
Illinois MEDICAID 36070909
Illinois MEDICAID 500649299

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