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Search › Oregon › 1041C0700X

Mark Goodman, LCSW

NPI 1568749687 · on the registry since 2011

Practice

Address
62930 O B Riley Rd Ste 200
Bend, OR 97703
Phone
(541) 330-1919
Organisation at this address
Natura Healthcare Llc
Juniper Ridge Developmental And Behavioral Pediatrics
Juniper Ridge Developmental And Behavioral Pediatrics, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
101YA0400X
101YM0800X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-05-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon