Individual
BETHANY GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
609 NE BAKER ST STE 260, MCMINNVILLE, OR 97128-4950
(971) 213-5025
Mailing address
609 NE BAKER ST STE 260, MCMINNVILLE, OR 97128-4950
(971) 213-5025
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L8458
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500712909
—
OR
Enumeration date
08/04/2016
Last updated
06/05/2026
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