Individual provider · Type 1 NPI

Alivia Goodman

Student in an Organized Health Care Education/Training Program · Tahlequah, OK

NPI number 1316868425 Active

Practice location

19600 E Ross St
Tahlequah, OK 74464-0545

Call (539) 234-1000 Map

Mailing address

609 Rolling Hills Dr Apt D
Tahlequah, OK 74464-5786

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1316868425

Alivia Goodman's National Provider Identifier is 1316868425, issued on Jul 23, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tahlequah, OK. The record was last updated on Jul 23, 2026.