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1023203353
JAMES WILLIAM GOODRICK
BEAVERTON, OR
NPI
1023203353
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-09-10
Last Update Date
2008-01-15
Business Address
-- JAMES WILLIAM GOODRICK
14195 SW MILLIKAN WAY BEAVERTON
BEAVERTON, OR 97005-2307
Phone number: 503-238-0769
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Mailing Address
-- JAMES WILLIAM GOODRICK
11559 SW DAVIES RD BEAVERTON
BEAVERTON, OR 97007-8324
Phone number: 503-307-2148
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