Individual
ANDREA GOUGH-GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3580 SE 82ND AVE, PORTLAND, OR 97266-2902
(971) 339-9240
Mailing address
3580 SE 82ND AVE, PORTLAND, OR 97266-2902
(719) 339-9240
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
MD172073
OR
Other
Enumeration date
04/05/2012
Last updated
02/14/2023
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