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Individual

CONSTANTINE ZIGMUND GOLDSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CADC-R

Contact information

Practice address
12670 NW BARNES RD STE 200, PORTLAND, OR 97229-9001
(443) 589-4195
Mailing address
12670 NW BARNES RD STE 200, PORTLAND, OR 97229-9001
(443) 589-4195

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
04/07/2022
Last updated
04/07/2022
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