Douglas Goodgion
Douglas Goodgion is a Physician Assistant in Bend, Oregon. Qualified in 2022, 4 years ago. Practices with Nisha Jackson Inc, a 44-clinician group, accepts Medicare assignment and offers telehealth.
- Years since qualifying
- 4
- In the registry since
- 2022
Practice location Address checks out
2088 NE Kim LnBend, OR 97701-6588
Phone: (541) 309-0031
Fax: (541) 610-1996
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1629727219 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 21, 2022 |
| Last updated in NPPES | October 14, 2025 |
| Certification date | October 14, 2025 |
| Mailing address | 2088 Ne Kim Ln, Bend, OR 97701-6588 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Nisha Jackson Inc — 44 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 4 on file with Medicare |
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