Kathy Goff, L.P.N., SA-C

Primary specialty

Medical-Surgical Clinical Nurse SpecialistTaxonomy code 364SM0705X

Practice address

2230 NW Pettygrove St
Suite 210
Portland, OR 97210-2659

Phone

(503) 223-6223

Fax

(503) 223-3665

NPI assigned

Oct 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northwest Urological Clinic PC

  • Specialist
  • Portland, OR
  • NPI 1619995172
  NPD (past)
• Northwest Urology, LLC

  • Specialist
  • Portland, OR
  • NPI 1629461397
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609965870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9546 N CLARENDON AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972031914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 NW PETTYGROVE ST",
            "address_2": "SUITE 210",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102659",
            "telephone_number": "503-223-6223",
            "fax_number": "503-223-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOFF",
        "first_name": "KATHY",
        "credential": "L.P.N., SA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SM0705X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Medical-Surgical",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelia Goff, FNP
• Brian Craig Goff, PH.D.
• Emily Rebecca Goff, DMD
• Jana Balas Goff, DPM
• Justin Goff, PHARM.D.
• Marissa Goff
• Morgan Goff, MD
• Sophie R Goff, M.ED., MFT
• Ashleigh R Goforth
• Chris Goforth, QMHA

• Medical-Surgical Clinical Nurse Specialist in Portland, OR
• Providers in Portland, OR by specialty
• Medical-Surgical Clinical Nurse Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.