Individual provider · Type 1 NPI
Benjamin James Goudreau, DC
Chiropractor · Portland, ME
NPI number
1649679457
Active
Practice location
222 Auburn St Ste 102
Portland, ME 04103-6005
Mailing address
63 Greenwood Ln
Portland, ME 04103-1609
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CR2383 (ME) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
2 other providers at this address
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About NPI 1649679457
Benjamin James Goudreau, DC's National Provider Identifier is 1649679457, issued on Aug 18, 2014. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Portland, ME. The record was last updated on Jan 7, 2020.