Kathleen Goforth, Lac

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

KATHLEEN GOFORTH, LAC

Practice address

2805 NE MLK
Portland, OR 97212-3039

Phone

(503) 887-4425

NPI assigned

Sep 28, 2011

Last updated

Sep 28, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathleen Goodwin Goforth, MACOOM

Title

Acupuncturist, Masssage Therapist

Phone

(503) 887-4425

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1922381730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 NE MLK",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123039",
            "telephone_number": "503-887-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 NE MLK",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123039",
            "telephone_number": "503-887-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN GOFORTH, LAC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-28",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "GOFORTH",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "GOODWIN",
        "authorized_official_title_or_position": "ACUPUNCTURIST, MASSSAGE THERAPIST",
        "authorized_official_telephone_number": "503-887-4425",
        "authorized_official_credential": "MACOOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Portland, OR
• Providers in Portland, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.