Organization
GOLD THERAPEUTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER GOLD (OWNER)
(503) 806-9680
Entity
Organization
Contact information
Practice address
1112 DANIELS ST STE 40, VANCOUVER, WA 98660-2954
(503) 806-9680
Mailing address
1112 DANIELS ST STE 40, VANCOUVER, WA 98660-2954
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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