Individual
TEVIS GOLDFEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 5TH ST, BROOKINGS, OR 97415-9702
(541) 412-2000
Mailing address
500 5TH ST, BROOKINGS, OR 97415-9702
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
08059
OR
Other
Enumeration date
12/14/2013
Last updated
12/14/2013
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