Whalio Doctors

NPI 1225017288

Peter E Goodkin, MD

Practitioner Dermatology Physician Clackamas, OR

Practice location

Address
9775 SE Sunnyside Road Suite 500, Clackamas, OR 97015-5724
Phone
(503) 654-7546
Fax
(503) 786-3542

Registered specialties

Dermatology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence MD09756 (OR)

Registry record

NPI
1225017288
Entity type
Individual
Sex (as registered)
Male
NPI issued
10 Jan 2006
Record last updated
24 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.