ETHAN RICHARD GOULET
NPI 1851248389
Nurse Practitioner - Psychiatric/Mental Health in Oregon, OH
Active since March 13, 2026
About Ethan Richard Goulet NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETHAN RICHARD GOULET (NPI 1851248389) is an individual psychiatric/mental health provider in Oregon, Ohio, licensed in Ohio (APRN.CNP.0042475) and active in the NPI registry since March 2026.
NPPES Registry Identity
NPI1851248389
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameETHAN RICHARD GOULET
Location Address2600 NAVARRE AVEOregon, OH 43616-3207
Mailing Address2600 Navarre AveOregon, OH 43616-3207 · (419) 696-7200
Phone(419) 696-7200
Sole ProprietorYes
Enumeration DateMarch 13, 2026
Last NPPES UpdateJune 17, 20262 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
✔ NPI 1851248389 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OH · APRN.CNP.0042475
2600 NAVARRE AVE, Oregon, OH 43616
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.
Anesthesiology (Pain Medicine)
2600 NAVARRE AVE, PAIN CLINIC
OREGON, OH 43616
OREGON, OH 43616
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851248389, enumerated as an "individual" on March 13, 2026.
The provider is located at 2600 NAVARRE AVE OREGON, OH 43616 and the phone number is (419) 696-7200.
Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.