MS. MELISSA KERI LYNNE GOODWIN (NPI# 1639219702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639219702 |
| Entity Type | Individual |
| Full Name | MS. MELISSA KERI LYNNE GOODWIN |
| Credential | OT |
| Practice Address |
1675 Sw Marlow Ave Ste 200 Portland OR 97225-5102 |
| Mailing Address |
6108 Sw 18th Dr Apt 6 Portland OR 97239-1951 |
| Practice Telephone | 5032286479 |
| Mailing Telephone | 5034523734 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 218510 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619529070 | Melissa Jane Goodwin | Occupational Therapy Assistant | 414 Forest Ave, Memphis, MO 63555-1644 | 2019-07-15 |
| 1013060565 | Melissa Ragsdale Goodwin | Counselor | 601 Bombay Ln, Roswell, GA 30076-5828 | 2007-01-19 |
| 1881980571 | Melissa Goodwin | Occupational Therapist | 515 Brightfield Rd, Lutherville, MD 21093-3643 | 2011-06-22 |
| 1386944346 | Melissa Goodwin | Registered Nurse | 1019 E Water St, Elmira, NY 14901-3332 | 2010-10-25 |
| 1730489873 | Melissa Anne Goodwin | Obstetrics & Gynecology | 102 Nw 31st St, Lawton, OK 73505-6100 | 2010-10-22 |
| Street Address |
1675 SW MARLOW AVE STE 200 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-5102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609828730 | Camille Renee Juntunen | Speech-Language Pathologist | 1675 Sw Marlow Ave Ste 200, Portland, OR 97225-5102 | 2006-05-17 |
| 1720687098 | Julius Carter | Behavior Technician | 1675 Sw Marlow Ave Ste 200, Portland, OR 97225-5102 | 2020-10-19 |
| 1346847027 | Alejandra Maria Landa | Behavior Technician | 1675 Sw Marlow Ave Ste 200, Portland, OR 97225-5102 | 2020-10-06 |
| 1801493630 | Drasti Patel | Behavior Technician | 1675 Sw Marlow Ave Ste 200, Portland, OR 97225-5102 | 2020-10-05 |
| 1346856184 | Kumulani Kaai | Behavior Technician | 1675 Sw Marlow Ave Ste 200, Portland, OR 97225-5102 | 2020-09-17 |
| 1245840875 | Abigail Lindros | Behavior Technician | 1675 Sw Marlow Ave Ste 200, Portland, OR 97225-5102 | 2020-08-07 |
| 1821608548 | Brooke Nicole Goette | Behavior Technician | 1675 Sw Marlow Ave Ste 200, Portland, OR 97225-5102 | 2020-08-06 |
| 1588287577 | Jaclyn Kate Schmidt | Behavior Technician | 1675 Sw Marlow Ave Ste 200, Portland, OR 97225-5102 | 2020-05-25 |
| 1780206334 | Kaylee M Combs | Behavior Technician | 1675 Sw Marlow Ave Ste 200, Portland, OR 97225-5102 | 2020-05-16 |
| 1952923666 | Jose Diaz | Behavior Technician | 1675 Sw Marlow Ave Ste 200, Portland, OR 97225-5102 | 2020-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720685258 | Dakota Stewart | Occupational Therapist | 12765 Nw Lovejoy St, Portland, OR 97229-4644 | 2020-10-07 |
| 1124632674 | Samantha M Mack | Occupational Therapist | 24 Hillcrest Cir, Portland, ME 04103-1443 | 2020-09-02 |
| 1639782386 | Marie Trevisan | Occupational Therapist | 4110 Ne Tillamook St Apt 307, Portland, OR 97212-5359 | 2020-08-24 |
| 1649899568 | Suzanna Braverman | Occupational Therapist | Ohsu Center for Health and Healing Rehabilitation, 3303 Sw Bond Ave, Portland, OR 97239-3098 | 2020-04-10 |
| 1265064562 | Paul Jungwirth | Occupational Therapist | 11 Russell St Apt 3, Portland, ME 04102-3161 | 2020-02-05 |
| 1144850074 | Keirstalyn Wade | Occupational Therapist | 5335 Ne Irving St, Portland, OR 97213-3157 | 2020-01-20 |
| 1083254973 | Brina Kelly | Occupational Therapist | 10 Pleasant Ave, Portland, ME 04103-3218 | 2020-01-08 |
| 1144889726 | Jessica Campbell | Occupational Therapist | 587 Riverside St, Portland, ME 04103-1289 | 2019-06-07 |
| 1366906711 | Julia Integlia Welter | Occupational Therapist | 12 Saint Lawrence St Unit 1, Portland, ME 04101-4316 | 2019-01-29 |
| 1710453840 | Amanda Sisco | Occupational Therapist | 4138 Se 76th Ave, Portland, OR 97206-3350 | 2018-10-16 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.