Individual provider · Type 1 NPI

Jared Christian Goodwin

Medical Physician Assistant · Gresham, OR

NPI number 1497312128 Active

Practice location

24988 SE Stark St Ste 220
Gresham, OR 97030-8324

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1497312128

Jared Christian Goodwin's National Provider Identifier is 1497312128, issued on May 29, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Gresham, OR. The record was last updated on Feb 11, 2026.