Jon Lee Goodwin in Portland - Orthodontics And Dentofacial Orthopedics
Jon Lee Goodwin - NPI 1467589648
Jon Lee Goodwin is a Orthodontics And Dentofacial Orthopedics in Portland, Oregon. Jon Lee Goodwin practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Jon Lee Goodwin is 1467589648. The last update date is 2007-07-08.
Jon Lee Goodwin's current location address is 12885 Nw Cornell Road, Portland, Oregon. You can contact this provider via phone number 5036463200 and fax number 5036462397. The mailing address for Jon Lee Goodwin is 12885 Nw Cornell Road, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jon Lee Goodwin |
|---|---|
| Address | 12885 Nw Cornell Road, Portland, Oregon |
| Phone Number | 5036463200 |
| Fax Number | 5036462397 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1467589648 |
|---|---|
| Provider Enumeration Date | 2007-02-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 12885 Nw Cornell Road |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972295813 |
| Phone Number | 5036463200 |
| Fax Number | 5036462397 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | D6170 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Post Comment/ Review Below
What is the unique identifier code issued to Jon Lee Goodwin by the Centers for Medicare & Medicaid Services?
The Jon Lee Goodwin has been assigned the NPI (National Provider Identifier) 1467589648. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jon Lee Goodwin is physically located?
The Jon Lee Goodwin is physically situated at the following address: 12885 Nw Cornell Road, Portland, OR, 972295813.
What is Jon Lee Goodwin's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jon Lee Goodwin is Orthodontics And Dentofacial Orthopedics, and the taxonomy code that categorizes this field of expertise is 1223X0400X.
When was the Jon Lee Goodwin's 1467589648 issued?
The Jon Lee Goodwin's 1467589648 was issued on 2007-02-27.
As of what date were the details related to Jon Lee Goodwin most recently updated or revised?
The information pertaining to Jon Lee Goodwin, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.