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Contact Information

KIMBERLY R GOODALE, PSY.D.
1975 NW 167TH PL STE 100-4
BEAVERTON, OR97006-4908
 Phone: 503-500-5610
 Fax: 503-500-5650
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Health

103TH0004X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KIMBERLY R GOODALE · (Female)

NPI Number 1427260249
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 05/04/2007
Last updated 02/25/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 1743
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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