Individual ProviderKathleen Goodwin GoforthAcupuncturistOther Service ProvidersPractice Address727 W Burnside, Portland, OR 97209(503) 228-4533PECOS EnrollmentBased on the most recent information from CMS, provider Kathleen Goodwin Goforth does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 5:04 PM.Profile DetailsProvider ID1649229485Provider TypeIndividualFull NameGoforth, Kathleen GoodwinCredentialL.AC.GenderFemaleEnumeration Date5/9/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address727 W Burnside, Portland, OR 97209Phone(503) 228-4533FaxUnlisted FaxMailing LocationMailing Address6401 NE 33rd, Portland, OR 97211Phone(503) 228-4533FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicenseAC00602Oregon