IndividualActive
Mark Goodman, M.D.
NPI 1609018860 · Sports Medicine (Emergency Medicine) Physician · Bend, OR
Provider details
- NPI number
- 1609018860
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD160709 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1140 Sw Simpson Ave Ste 100
Bend, OR 97702-3789
Phone: (541) 388-2333
Fax: (541) 388-0930
Approximate (ZIP-level) locationGet directions
Mailing address
1140 Sw Simpson Ave Ste 100
Bend, OR 97702-3789
Registry dates
- Enumerated
- 2009-04-01
- Last updated
- 2026-03-30
- Certified
- 2026-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.