Individual
CRAIG GOOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2700 NW STEWART PKWY, ANNEX A, ROSEBURG, OR 97471-1281
(541) 672-5667
(541) 672-1048
Mailing address
2700 NW STEWART PKWY, ANNEX A, ROSEBURG, OR 97471-1281
(541) 672-5667
(541) 672-1048
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
200942931RN
OR
Other
Enumeration date
04/15/2010
Last updated
04/15/2010
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