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Individual

SARAH GOFORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2545 NE FLANDERS ST, PORTLAND, OR 97232-3139
(503) 235-3546
Mailing address
77 S MAIN ST, NEW CITY, NY 10956-3511
(845) 634-5729

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
02-R-18
OR

Other

Enumeration date
06/24/2013
Last updated
07/02/2014
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