Individual provider · Type 1 NPI

Michelle Dawn Goodwin, LPN

Licensed Practical Nurse · Portland, OR

NPI number 1104305234 Active

Practice location

420 NE Mason St
Portland, OR 97211-3479

Call (503) 546-9402 Map

Fax (503) 546-9415

Mailing address

4531 SE Belmont St Ste 100
Portland, OR 97215-1675

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X201801078LPN (OR)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1104305234

Michelle Dawn Goodwin, LPN's National Provider Identifier is 1104305234, issued on Aug 9, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Portland, OR. The record was last updated on Aug 9, 2018.