Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PETER E GOODKIN, MD
Active Sole ProprietorPETER E GOODKIN, MD is a Dermatology healthcare provider located in CLACKAMAS, Oregon. NPI 1225017288 is currently active in the NPPES registry. Verify at CMS.
Dermatology · CLACKAMAS, OR
Registration Details
- NPI Number
- 1225017288
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 10, 2006 (20.548915271823 yrs)
- Last Updated
- Sep 24, 2010
- License
-
MD09756 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9775 SE SUNNYSIDE ROADSUITE 500CLACKAMAS, OR, 970155724Browse OR providers · Browse ZIP 97015
- Phone
- 5036547546
- Fax
- 5037863542
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in CLACKAMAS, OR
| Name | Credential | NPI |
|---|---|---|
| DR. TONY SHUO-WEN CLINTON-MERRELL | MD | 1982675690 |
| KENNETH MYUNGDEI KANG | M.D. | 1760495980 |
| DR. SUSAN ELISE KOCH | M.D. | 1912092693 |
| MATTHEW G BASCO | MD | 1386732923 |
| TRAVIS JAMES WIDMAN | M.D. | 1700928397 |
| DANIEL C. ROOT | M.D. | 1184824237 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.