Individual
DR. HELEN LAURA GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2367
(360) 414-7878
(360) 414-7876
Mailing address
PO BOX 10100, DELTA, CO 81416-0008
(970) 399-2895
(970) 874-6017
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
DR0032488
CO
207RH0003X
Hematology & Oncology Physician
J9059
TX
207RX0202X
Medical Oncology Physician
Primary
MD61103919
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01324888
—
CO
05
—
042693402
—
TX
01
—
328346YPYR
MEDICARE PTAN
TX
01
—
74-2332650
TAX ID
TX
Enumeration date
06/03/2006
Last updated
02/09/2021
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