Individual
DR. RICHARD GOLDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1510 DIVISION STREET, SUITE 200, OREGON CITY, OR 97045
(503) 650-6880
(503) 650-6888
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD19046
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067983
—
OR
01
—
P00821466
RR MEDICARE
OR
Enumeration date
10/02/2006
Last updated
10/23/2012
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