GREGORY THOMAS GOODLIN

PORTLAND, OR
NPI1952463804
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: OR  D7070)
Enumeration Date2006-12-15
Last Update Date2007-07-08
Business Address
-- GREGORY THOMAS GOODLIN DMD
11769 NE GLISON ST
PORTLAND, OR 97220
Phone number: 503-252-9901
Mailing Address
-- GREGORY THOMAS GOODLIN DMD
11769 NE GLISAN ST
PORTLAND, OR 97220
Phone number: 503-252-9901