Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225017288 Individual Practitioner Male Practitioner

Dr. Peter E Goodkin , MD

Dermatology • Clackamas, OR

Professional Overview & Biography Verified Profile Summary

Dr. Peter Goodkin, MD is a registered healthcare professional specializing in Dermatology in Clackamas, OR. Practice services are available at 9775 SE SUNNYSIDE ROAD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9775 Se Sunnyside Road
Suite 500

Clackamas, OR 970155724

Telephone 5036547546
Fax 5037863542
Associated Practice Facility / Clinic
🏢 Clackamas Dermatology Pc Facility NPI 1700221397

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Clackamas, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.3 Yrs
State Avg: 21.5 Yrs
Regional Practice Density
15 Specialists

Practicing in Clackamas, OR (217 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License OR MD09756

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
057794 (OR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
NPI 1255569273

Doctor of Osteopathic Medicine (D.O.)

Katherine Murphy , PA-C

Physician Assistant

NPI 1265080006

Physician Assistant (Certified)

Laura Dougherty , PA

Physician Assistant - Medical

NPI 1316913387

Physician Assistant

Erin Worth , PA-C

Physician Assistant - Medical

NPI 1457505687

Physician Assistant (Certified)

Heather Hallowell , PA-C

Physician Assistant

NPI 1629745013

Physician Assistant (Certified)

Robin Norman , PA-C

Physician Assistant

NPI 1740681311

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 24, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location September 24, 2010

Registered at 9775 SE SUNNYSIDE ROAD, SUITE 500, CLACKAMAS, OR 970155724 (Tel: 5036547546)

📍
Updated Business Mailing Address September 24, 2010

Registered at 9775 SE SUNNYSIDE ROAD, SUITE 500, CLACKAMAS, OR 970155724 (Tel: 5036547546)

👤
Provider Name / Credentials Updated September 24, 2010

Recorded as PETER GOODKIN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2010

Dermatology (License #MD09756 in OR)

🟢
Initial NPI Registration & Enumeration January 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225017288
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 10, 2006
Last Update: September 24, 2010
Sole Proprietor: Yes

Mailing Address

9775 Se Sunnyside Road, Suite 500

Clackamas, OR 970155724

Phone: 5036547546

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.