Individual
BETHANY R GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
414 N MERIDIAN ST, NEWBERG, OR 97132-2697
(503) 554-2922
(503) 554-3864
Mailing address
414 N MERIDIAN ST, NEWBERG, OR 97132-2697
(503) 554-2922
(503) 554-3864
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/25/2006
Last updated
07/06/2011
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