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Individual

ROBERT GOLD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5050 NE HOYT ST, STE 522, PORTLAND, OR 97213-2991
(503) 236-4343
(503) 234-0271
Mailing address
3439 NE SANDY BLVD, PMB 375, PORTLAND, OR 97232-1959
(503) 284-8841
(503) 282-3302

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD20500
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
150408
OR
Enumeration date
07/28/2005
Last updated
11/04/2011
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