Individual
CHARLES BRIAN GOLDSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
11115 SE STARK ST, PORTLAND, OR 97216-3352
(503) 256-4830
(503) 255-0758
Mailing address
11115 SE STARK ST, PORTLAND, OR 97216-3352
(503) 256-4830
(503) 255-0758
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3772
OR
Other
Enumeration date
11/16/2007
Last updated
10/05/2009
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