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Individual

KATIE MARIE GOLDSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
788 S FRONT ST, CENTRAL POINT, OR 97502-2725
(541) 727-7501
Mailing address
6900 PLEASANT CREEK RD, ROGUE RIVER, OR 97537-4765
(503) 302-4004

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
13923
CA
152W00000X
Optometrist
Primary
3589AT
OR
152W00000X
Optometrist
7411T
TX

Other

Enumeration date
07/21/2009
Last updated
03/17/2018
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