Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Justin Ryan Goodman, DDS

Individual provider Dentist · NPI 1588813992

Dr. Justin Ryan Goodman, DDS is a Dentist in Clackamas, Oregon. Licensed in Oregon. Registered with an NPI since 2008.

Licensed in
OR
In the registry since
2008
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

13023 SE 84th Ave Ste A
Clackamas, OR 97015-9798
Phone: (503) 353-9992
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D9165 (OR)

Record details

NPI number1588813992
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedSeptember 10, 2008
Last updated in NPPESJanuary 22, 2010
Mailing address13023 Se 84th Ave Ste A, Clackamas, OR 97015-9798

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