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NPI Profile for THOMAS GODFREY in PORTLAND, OR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hospice Care, Community Based |
251G00000X | B4[14] | Hospice |
| NPI # | 1962955641 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 07/28/2016 | |
| Last updated | 02/07/2019 - About 7 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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THOMAS GODFREY
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THOMAS GODFREY