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1225164379
KENNETH THOMAS GOODELL
COTTAGE GROVE, OR
NPI
1225164379
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: OR DO150423)
Enumeration Date
2007-02-25
Last Update Date
2020-11-10
Business Address
Dr. KENNETH THOMAS GOODELL Ken Goodell
1515 VILLAGE DR EMERGENCY DEPARTMENT
COTTAGE GROVE, OR 97424-9700
Phone number: 541-942-0511
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Mailing Address
Dr. KENNETH THOMAS GOODELL Ken Goodell
PO BOX 1193
CORVALLIS, OR 97339-1193
Phone number:
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