Individual provider · Type 1 NPI

Jon Lee Goodwin, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Portland, OR

NPI number 1467589648 Active

Practice location

12885 NW Cornell Road
Portland, OR 97229-5813

Fax (503) 646-2397

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	D6170 (OR)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1467589648

Jon Lee Goodwin, DMD's National Provider Identifier is 1467589648, issued on Feb 27, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.