Individual
MS. KATHLEEN MEG GOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1320 SW WASHINGTON ST, PORTLAND, OR 97205-2327
(503) 535-1151
(503) 535-1191
Mailing address
PO BOX 3007, PORTLAND, OR 97208-3007
(503) 535-1151
(503) 535-1191
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
083040006RN RN
OR
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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