Individual
KIMBERLY LOUISE GOSLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5050 NE HOYT ST, SUITE 315, PORTLAND, OR 97213-2982
(503) 215-8580
(503) 215-8585
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD21371
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276817
—
OR
05
—
8230369
—
WA
Enumeration date
08/16/2005
Last updated
10/14/2020
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