Goodman, Mark Stephen
Goodman, Mark Stephen is an individual health care provider with primary practice located at 2900 Daggett Ave , Klamath Falls OR 97601-7101. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Goodman, Mark Stephen can be contacted via phone (541) 884-1371.Contact Information
Primary practice address
2900 Daggett Ave
Klamath Falls OR 97601-7101
Phone: (541) 884-1371
Fax: (541) 882-3862
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD20502 | Oregon |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | MD20502 | Oregon |
Profile Details
| NPI number | 1831186337 |
|---|---|
| LBN Legal business name | Goodman, Mark Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2005 |
| Last updated | Sep 28th, 2007 - about 19 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 | 1831186337 | NPPES |
| California | MEDICAID | XPY191725 | |
| California | MEDICAID | 150322 |
Popular Providers
-
Johnson, William Kent
11221 Katy Fwy Ste 115 , Houston TX 77079-2105 -
Mabry, Edward H
7695 Poplar Pike Suite 101, Germantown TN 38138-5947 -
Brown, Thomas R
2900 Daggett Ave , Klamath Falls OR 97601-7101 -
Fay, Jill Sara
2613 Almond St , Klamath Falls OR 97601 -
Boland, Pamela
1326 Eisenhower Dr , Savannah GA 31406-3928 -
Beltz, Homer F
5901 Technology Center Dr , Indianapolis IN 46278-6013 -
Potenta, Scott Edward
2900 Daggett Ave , Klamath Falls OR 97601-7101 -
Frachtman, Richard Julian
902 Frostwood Dr Ste 275, Houston TX 77024-2445