Individual
STEVEN GOTFREDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CO,BOCP
Contact information
Practice address
4438 SE JEFFERSON ST, MILWAUKIE, OR 97222-5342
(801) 831-0561
Mailing address
4438 SE JEFFERSON ST, MILWAUKIE, OR 97222-5342
(801) 831-0561
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
09/21/2017
Last updated
07/21/2022
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