ALISSA GOODWIN

REDDING, CA
NPI1003222050
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  A169755)
Additional Taxonomies207Q00000X Family Medicine
(Licence: WA  MD60969215)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2014-07-09
Last Update Date2020-09-04
Business Address
ALISSA GOODWIN MD
2510 AIRPARK DR STE 201
REDDING, CA 96001-2461
Phone number: 530-244-4034
Mailing Address
ALISSA GOODWIN MD
3181 SW SAM JACKSON PARK RD OHSU
PORTLAND, OR 97239-3011
Phone number: 503-494-8220