Individual
MR. DOUGLAS MARK GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSS
Contact information
Practice address
213 S FIR ST, MEDFORD, OR 97501-3117
(541) 200-3000
Mailing address
213 S FIR ST, MEDFORD, OR 97501-3117
(541) 200-3000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OR
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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