JAY MAURY GOODMAN
Internal Medicine

Address: 3024 Se Woodstock Blvd, Portland, OR 97202-8136

JAY MAURY GOODMAN (NPI# 1205410065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205410065
Entity Type Individual
Full Name JAY MAURY GOODMAN
Gender Male
Credential MD
Practice Address 3024 Se Woodstock Blvd
Portland
OR 97202-8136
Practice Telephone 5412602399
Mailing Address Po Box 82234
Portland
OR 97282-0234
Mailing Telephone 5412602399
Certification Date 2021-05-07
Enumeration Date 2021-05-07
Last Update Date 2021-05-07
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 207R00000X Internal Medicine MD09880 OR Allopathic & Osteopathic Physicians

Office Location

Street Address 3024 SE WOODSTOCK BLVD
City PORTLAND
State OR
Zip Code 97202-8136

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1588226765 Melissa Lynn Hartley Counselor - Mental Health 1235 Se Division St. Suite 103, Portland, OR 97202 2019-07-08
1831764638 Wesley L Chernin Speech-Language Pathologist 6723 Se 15th Ave, #82832, Portland, OR 97202 2021-05-24
1275870693 Lara James Dental Hygienist 4016 Se Martins, Portland, OR 97202 2013-01-04
1275192999 Kimberly Rae Kilgore Counselor 5509 Se 22nd St #3a, Portland, OR 97202 2019-06-06
1851967194 Hands of Hope Hospice Hospice Care, Community Based 305 Se Spokane St, Ste 301a, Portland, OR 97202 2021-05-27
1164762902 Tal Cohen Acupuncturist 3725 Se Milwauki Ave, Portland, OR 97202 2013-02-14
1134644321 Bridgette Hennigsen Social Worker 3810 Se 11th Ave, Portland, OR 97202 2017-08-08
1669724654 Lacey Shirahama Counselor 3415 Se Powell Blvd, Portland, Or 97202, Portland, OR 97202 2012-10-15
1104162262 Killian-Davis, Inc · Structural Healing Massage & Bodywork, Inc. Massage Therapist 3758 Se Milwaukie Avenue, Portland, OR 97202 2012-12-18
1326468729 Kelly Russell Counselor - School 3415 Se Powell Blvd Trillium Family Services, Portland, OR 97202 2014-04-24
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073167730 Oregon Adult Medicine PC Internal Medicine 2330 Nw Flanders St Ste 201, Portland, OR 97210-3460 2019-07-30
1205385556 University Professional Services · Ohsu Physician Payment Services Internal Medicine 2055 Nw Savier St, Suite 201, Portland, OR 97209-1770 2016-09-28
1043768351 Kalaiselvi Balasubramanian Williams · Selvi B Williams Internal Medicine 3181 Sw Sam Jackson Park Rd # L475, Portland, OR 97239-3011 2016-09-15
1134579535 Caroline Morris Internal Medicine 3303 S Bond Ave # Chh16d, Portland, OR 97239-4501 2016-06-16
1265889265 Jared Tobolski Internal Medicine 22 Bramhall St Dept Of, Portland, ME 04102-3175 2016-05-19
1326494576 Tracy Hansen Internal Medicine 4212 Ne Broadway, Portland, OR 97213 2016-05-06
1528421039 Celine Haotian Zhou Internal Medicine 3181 Sw Sam Jackson Park Rd, L-579, Ohsu, Portland, OR 97239 2016-04-01
1023470044 David Andrew Ellis Internal Medicine 9155 Sw Barnes Rd Ste 302, Portland, OR 97225-6630 2016-03-29
1447612007 Paul Higdon Musgrave Internal Medicine 3181 Sw Sam Jackson Park Rd # L-475, Portland, OR 97239-3011 2016-03-23
1023490968 Saeeda Fatima Internal Medicine 22 Bramhall St Rm 2227, Portland, ME 04102-3175 2015-06-28
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Competitor

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City PORTLAND
Zip Code 97202

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.