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1104305234
MICHELLE DAWN GOODWIN
PORTLAND, OR
NPI
1104305234
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 201801078LPN)
Enumeration Date
2018-08-09
Last Update Date
2018-08-09
Business Address
MICHELLE DAWN GOODWIN LPN
420 NE MASON ST
PORTLAND, OR 97211-3479
Phone number: 503-546-9402
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Mailing Address
MICHELLE DAWN GOODWIN LPN
4531 SE BELMONT ST STE 100
PORTLAND, OR 97215-1675
Phone number: 503-546-9402
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