Individual
JEFFREY A. GOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, OHSU-PULMONARY CRITICAL CARE MAIL CODE UHN67, PORTLAND, OR 97239-3011
(503) 494-1620
Mailing address
3181 SW SAM JACKSON PARK RD, OHSU- PULMONARY AND CRITICAL CARE-MAIL CODE UHN67, PORTLAND, OR 97239-3011
(503) 418-1496
(503) 418-1497
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD25865
OR
207RP1001X
Pulmonary Disease Physician
MD25865
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269972
—
OR
Enumeration date
10/09/2006
Last updated
07/10/2007
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