SearchOregon363AM0700X

Shannon Goddard, PA

NPI 1780961417 · on the registry since 2011

Practice

Address
3181 Sw Sam Jackson Park Rd # Op31
Portland, OR 97239
Phone
(503) 494-6400
Clinicians at this address
6

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Also registered as
363A00000X
Licence states on file
CA, CO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-01-05

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