Goodkin, Peter E
Goodkin, Peter E is an sole proprietor health care provider with primary practice located at 9775 Se Sunnyside Road Suite 500, Clackamas OR 97015-5724. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Goodkin, Peter E can be contacted via phone (503) 654-7546.Contact Information
Primary practice address
9775 Se Sunnyside Road Suite 500
Clackamas OR 97015-5724
Phone: (503) 654-7546
Fax: (503) 786-3542
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD09756 | Oregon |
Profile Details
| NPI number | 1225017288 |
|---|---|
| LBN Legal business name | Goodkin, Peter E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2006 |
| Last updated | Sep 24th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225017288 | NPPES |
| Oregon | MEDICAID | 057794 |
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