Individual
MARK ADAM GOLDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
707 SW WASHINGTON ST STE 700, PORTLAND, OR 97205-3523
(503) 299-9906
(503) 225-9002
Mailing address
PO BOX 35147, #1801, SEATTLE, WA 98124-5147
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
125.063174
IL
207L00000X
Anesthesiology Physician
Primary
MD198399
OR
207L00000X
Anesthesiology Physician
MD60760983
WA
Other
Enumeration date
06/14/2013
Last updated
06/02/2020
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