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1487782553
KELLY L GOODMAN
PORTLAND, OR
NPI
1487782553
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR 3559)
Enumeration Date
2007-03-01
Last Update Date
2009-12-11
Business Address
-- KELLY L GOODMAN MSW
421 SW OAK ST 210
PORTLAND, OR 97204-1817
Phone number: 503-988-3674
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Mailing Address
-- KELLY L GOODMAN MSW
426 SW STARK ST 8TH FLOOR
PORTLAND, OR 97204-2347
Phone number: 503-988-3674
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