DR. Kenneth Thomas Goodell, KEN GOODELL

NPI #1225164379 in Cottage Grove, Oregon

Provider Information

NPI Number: 1225164379
Entity Type: Individual
Name: DR. Kenneth Thomas Goodell, KEN GOODELL
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: KEN GOODELL
Enumeration Date: Feb 25, 2007
Last Updated: Nov 10, 2020

Practice Location

Address: 1515 VILLAGE DR
Address 2: EMERGENCY DEPARTMENT
City: Cottage Grove
State: Oregon
ZIP Code: 97424-9700
Phone: (541) 942-0511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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