Individual
DR. JAY CARL GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2222 NW LOVEJOY ST, #510, PORTLAND, OR 97210-3033
(503) 221-1581
(503) 221-1582
Mailing address
2222 NW LOVEJOY ST, #510, PORTLAND, OR 97210-3033
(503) 221-1581
(503) 221-1582
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP00107
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15499-7
—
OR
Enumeration date
09/03/2006
Last updated
10/25/2010
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