Courtney Goodman

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

340 B Ave
Lake Oswego, OR 97034-3012

Phone

(503) 303-7212

NPI assigned

May 15, 2019

Last updated

Feb 19, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1720644719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7205 N RENO AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972031401",
            "telephone_number": "503-860-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 B AVE",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343012",
            "telephone_number": "503-303-7212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 Liberty St NE Ste 2",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973012463",
            "country_code": "US",
            "telephone_number": "503-991-5091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "COURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-15",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Gonzalez, RN
• Edgar Gonzalez, LMT
• Carlee Olson Good, D.P.T.
• Katherine Elberta Goodenough, LMT#12542
• Matthew Donovan Goodhue, DMD
• Eric Goranson, M.D.
• Allene Gould, LPC
• Graced by Faith LLC
• Elizabeth Graff, M.D.
• Natalie Marie Graham, M.S.P.T.

• Behavior Technician in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Behavior Technician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.