Individual
NICK GOLDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19800 VILLAGE OFFICE CT STE 104, BEND, OR 97702-1813
(541) 480-2570
(541) 480-2570
Mailing address
170 SW 17TH ST, REDMOND, OR 97756-1905
(321) 230-7577
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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