Individual provider Active NPI

Adria Yvonne Goodness, C.N.M., P.M.H.N.P.

  • Psychiatry Physician
  • Portland, OR
National Provider Identifier
1275611733
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
200350075NP Issued in OR
Practice address
106 SW Woods St
Portland, OR 97201-4739
Phone
(971) 220-8338
Fax
(503) 894-9515
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 200350075NP OR
Psychiatry Physician 2084P0800X 200350075NP OR Primary

Addresses

Primary practice location

106 SW Woods St
Portland, OR 97201-4739

Mailing address

PO Box 820211
Portland, OR 97282-1211
Phone (971) 220-8338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
200350075NPORMDPsychiatry Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1275611733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 820211",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972821211",
            "telephone_number": "971-220-8338",
            "fax_number": "503-894-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 SW WOODS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972014739",
            "telephone_number": "971-220-8338",
            "fax_number": "503-894-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODNESS",
        "first_name": "ADRIA",
        "middle_name": "YVONNE",
        "credential": "C.N.M., P.M.H.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "OR",
            "license": "200350075NP",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "200350075NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.