JAMES WILLIAM GOODRICK

BEAVERTON, OR
NPI1023203353
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-09-10
Last Update Date2008-01-15
Business Address
-- JAMES WILLIAM GOODRICK
14195 SW MILLIKAN WAY BEAVERTON
BEAVERTON, OR 97005-2307
Phone number: 503-238-0769
Mailing Address
-- JAMES WILLIAM GOODRICK
11559 SW DAVIES RD BEAVERTON
BEAVERTON, OR 97007-8324
Phone number: 503-307-2148