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General NPI Number Information
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NPI Number | 1609666858
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Entity Type | Individual
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Provider Name | MELANIE M GOODWIN CAS, CADC II
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Gender | Female
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Dates
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Enumeration Date | 05/10/2025
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 10330 SE 32ND AVE STE 325
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City | PORTLAND
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State | OR
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Zip | 97222-6656
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Country | US
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Telephone | 720-758-0391
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Fax |
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Provider Business Mailing Address
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Address Line | 110 N TOMAHAWK ISLAND DR APT 139
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City | PORTLAND
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State | OR
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Zip | 97217-7813
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Country | US
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Telephone | 720-758-0391
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | ACC.0021371
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 25-R32
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License Number State | OR
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