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1205410065
JAY MAURY GOODMAN
PORTLAND, OR
NPI
1205410065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OR MD09880)
Enumeration Date
2021-05-07
Last Update Date
2021-05-07
Business Address
-- JAY MAURY GOODMAN MD
3024 SE WOODSTOCK BLVD
PORTLAND, OR 97202-8136
Phone number: 541-260-2399
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Mailing Address
-- JAY MAURY GOODMAN MD
PO BOX 82234
PORTLAND, OR 97282-0234
Phone number: 541-260-2399
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