ALISSA GODDARD
NPI 1013562156
Counselor - Mental Health in Portland, OR
Active since August 06, 2019
About Alissa Goddard NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALISSA GODDARD (NPI 1013562156) is an individual mental health provider in Portland, Oregon and active in the NPI registry since August 2019.
NPPES Registry Identity
NPI1013562156
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameALISSA GODDARD
Location Address2923 NE BROADWAY STPortland, OR 97232-1760
Mailing Address2923 Ne Broadway StPortland, OR 97232-1760
Phone(503) 941-0856
Sole ProprietorNo
Enumeration DateAugust 6, 2019
✔ NPI 1013562156 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2923 NE BROADWAY ST, Portland, OR 97232
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Marriage & Family Therapist
2923 NE BROADWAY ST
PORTLAND, OR 97232
PORTLAND, OR 97232
Marriage & Family Therapist
2923 NE BROADWAY ST
PORTLAND, OR 97232
PORTLAND, OR 97232
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013562156, enumerated as an "individual" on August 06, 2019.
The provider is located at 2923 NE BROADWAY ST PORTLAND, OR 97232 and the phone number is (503) 941-0856.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.