RENEE NICOLE GOODREAU (M.D.) – Obstetrics & Gynecology Physician, NPI 1770787681
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for RENEE NICOLE GOODREAU (M.D.)
500 NE MULTNOMAH ST STE 100
PORTLAND, OR 972322031
Phone: (800) 813-2000
Fax: (855) 524-5255
Type: Mailing
24850 SE Stark St
Suite 200
Gresham, OR 970308316
Phone: (503) 491-9444
Fax: (503) 661-3430
Type: Location
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 970158970
Phone: (800) 813-2000
Type: Location
24850, Southeast Stark Street, Gresham, Metro, Multnomah County, Oregon, 97060, United States
SUITE 200
GRESHAM, OR 970308316
Phone: (503) 491-9444
Fax: (503) 661-3430
Type: Mailing
5556 NE PRESCOTT ST
PORTLAND, OR 972182162
Phone: (503) 277-0443
Type: Mailing
24800 SE STARK ST
GRESHAM, OR 970303378
Phone: (503) 674-1750
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-05-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100916000806 | I | Obstetrics/Gynecology | OR | TBD |
| I20230531003523 | I | Obstetrics/Gynecology | WA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97232)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease, Internal Medicine | OR | |
| Vascular Surgery, General Surgery | OR | |
| Physician Assistant | OR | |
| Internal Medicine | OR | |
| Critical Care (Intensivists) | OR | |
| - | OR | |
| Internal Medicine | OR | |
| Internal Medicine | OR | |
| Nurse Practitioner | OR | |
| - | OR |
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