IndividualActive
Jillian Goodman, MS
NPI 1497608533 · Dietary Manager · Portland, OR
Provider details
- NPI number
- 1497608533
- Entity type
- Individual
- Primary specialty
- Dietary ManagerDietary & Nutritional Service Providers
- Credential
- MS
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
3425 Sw Brentwood Dr
Portland, OR 97201-1619
Phone: (413) 427-2217
Approximate (ZIP-level) locationGet directions
Mailing address
3425 Sw Brentwood Dr
Portland, OR 97201-1619
Registry dates
- Enumerated
- 2026-02-18
- Last updated
- 2026-02-18
- Certified
- 2026-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.