Individual
RACHEL E GOLDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
3684 SE 67TH AVE, PORTLAND, OR 97206-2632
(801) 897-9599
Mailing address
3684 SE 67TH AVE, PORTLAND, OR 97206-2632
(801) 897-9599
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
356458
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14409638
CAQH
—
Enumeration date
02/23/2019
Last updated
03/19/2024
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