Susan Goddard, CHW

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

THW000110230 Issued in OR

Practice address

PO Box 546
Gresham, OR 97030-0132

Phone

(971) 373-4165

Fax

(971) 373-4165

NPI assigned

Jan 4, 2024

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.

• Orchid Oakridge Clinic, P.C.

  • Rural Health Clinic/Center
  • Oakridge, OR
  • NPI 1588088983
  NPD (past)
• Orchid Oakridge Clinic, PC

  • Primary Care Clinic/Center
  • Elmira, OR
  • NPI 1881274348
  NPD (past)

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1912777590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 546",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970300132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 546",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970300132",
            "telephone_number": "971-373-4165",
            "fax_number": "971-373-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODDARD",
        "first_name": "SUSAN",
        "credential": "CHW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-04",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OR",
            "license": "THW000110230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian M Girtz, CADC CANDIDATE
• Ethan Gladhill
• Ryan Douglas Glover, OTR/L, CHT
• Angela Goble
• Megan Godbey
• Golden Ribbon Acupuncture, LLC
• Golden Springs Residencial Treatment Home LLC
• Goldstar Vascular Access, Inc
• Golfway Joy LLC
• Yelena Goloborodko, B.S., R.D.H.

• Community Health Worker in Gresham, OR
• Providers in Gresham, OR by specialty
• Community Health Worker in Oregon

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