Individual
URI Z GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
199 W HIGHWAY 20, TOLEDO, OR 97391-1242
(541) 336-5181
(541) 336-7614
Mailing address
PO BOX 2847, CORVALLIS, OR 97339-2847
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
41999
CO
207Q00000X
Family Medicine Physician
Primary
DO159256
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15929353
—
CO
05
—
500650948
—
OR
Enumeration date
05/27/2005
Last updated
11/03/2020
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