Individual
MR. SAMUEL GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
32 NE 11TH AVE, PORTLAND, OR 97232-3001
(503) 542-7635
Mailing address
390 E MAIN ST APT 302, HILLSBORO, OR 97123-4037
(614) 940-8613
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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