person
Kerry Samuel Goldstein, MA
Mental Health Counselor in Portland, Oregon
NPI 1245493626

Kerry Samuel Goldstein is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Kerry Samuel Goldstein practices in Portland, OR and has the professional credentials of MA. The NPI Number for Kerry Samuel Goldstein is 1245493626 and holds a License No. (Oregon).

The current practice location address for Kerry Samuel Goldstein is 320 Sw Stark St Ste 402, Portland, OR and can be reached out via phone at 503-267-3607.

Location: 320 Sw Stark St Ste 402, Portland, OR, 97204-2626
person
Provider Profile Details
NPI Number
1245493626
Provider Name
Kerry Samuel Goldstein
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
320 Sw Stark St Ste 402, Portland, OR, 97204-2626
Phone Number
503-267-3607
Fax Number
Provider Enumeration Date
07/07/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
123190 05 OR
institution
Provider Business Practice Location Address Details
Address
320 Sw Stark St Ste 402
City
State
Zip
97204-2626
Phone Number
503-267-3607
Fax Number
person
Provider Business Mailing Address Details
Address
320 Sw Stark St Ste 402
City
State
Zip
97204-2626
Phone Number
503-267-3607
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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