JON LEE GOODWIN

PORTLAND, OR
NPI1467589648
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: OR  D6170)
Enumeration Date2007-02-27
Last Update Date2007-07-08
Business Address
-- JON LEE GOODWIN DMD
12885 NW CORNELL ROAD
PORTLAND, OR 97229-5813
Phone number: 503-646-3200
Mailing Address
-- JON LEE GOODWIN DMD
12885 NW CORNELL ROAD
PORTLAND, OR 97229-5813
Phone number: 503-646-3200
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