IndividualActive
Michelle Goodwin, LPN
NPI 1104305234 · Licensed Practical Nurse · Portland, OR
Provider details
- NPI number
- 1104305234
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- License
- 201801078LPN (OR)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
420 Ne Mason St
Portland, OR 97211-3479
Phone: (503) 546-9402
Fax: (503) 546-9415
Street-level locationGet directions
Mailing address
4531 Se Belmont St Ste 100
Portland, OR 97215-1675
Registry dates
- Enumerated
- 2018-08-09
- Last updated
- 2018-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.