Mr. Samuel Goldberg - Portland, OR

Mr. Samuel Goldberg

Student in an Organized Health Care Education/Training Program in Portland, Oregon

NPI 1063140721

Samuel Goldberg is a Student in an Organized Health Care Education/Training Program based in Hillsboro, OR. Samuel Goldberg practices in Portland, OR. The NPI Number for Samuel Goldberg is 1063140721 and holds a License No. (Oregon).

The current practice location address for Samuel Goldberg is 32 Ne 11Th Ave, Portland, OR and can be reached out via phone at 503-542-7635.

Location: 32 Ne 11Th Ave, Portland, OR, 97123-4037

NPI Number

1063140721

Provider Name

Samuel Goldberg

Credential

Provider Entity Type

Individual

Gender

Male

Address

32 Ne 11Th Ave, Portland, OR, 97123-4037

Phone Number

503-542-7635

Fax Number

Provider Enumeration Date

08/10/2022

Last Update Date

03/10/2024

Address

32 Ne 11Th Ave

City

Portland

State

Oregon

Zip

97232-3001

Phone Number

503-542-7635

Fax Number

Address

32 Ne 11Th Ave

City

Portland

State

Oregon

Zip

97232-3001

Phone Number

503-542-7635

Fax Number

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

()

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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