Kerry Samuel Goldstein in Portland - Mental Health
Kerry Samuel Goldstein - NPI 1245493626
Kerry Samuel Goldstein is a Mental Health in Portland, Oregon. Kerry Samuel Goldstein practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Kerry Samuel Goldstein is 1245493626. The last update date is 2009-08-31.
Kerry Samuel Goldstein's current location address is 320 Sw Stark St Ste 402, Portland, Oregon. You can contact this provider via phone number 5032673607. The mailing address for Kerry Samuel Goldstein is 320 Sw Stark St Ste 402, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kerry Samuel Goldstein |
|---|---|
| Address | 320 Sw Stark St Ste 402, Portland, Oregon |
| Phone Number | 5032673607 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.A. |
NPI Number Detail
| NPI Number | 1245493626 |
|---|---|
| Provider Enumeration Date | 2008-07-07 |
| Last Updated Date | 2009-08-31 |
Provider Mailing Address Detail
| Address | 320 Sw Stark St Ste 402 |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972042626 |
| Phone Number | 5032673607 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
|
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 123190 | OR | -- |
Post Comment/ Review Below
What is the Kerry Samuel Goldstein's 1245493626?
The Kerry Samuel Goldstein's NPI (National Provider Identifier) Number is 1245493626. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Kerry Samuel Goldstein's facilities are situated?
The facilities of Kerry Samuel Goldstein are physically located at the following address: 320 Sw Stark St Ste 402, Portland, OR, 972042626.
What is Kerry Samuel Goldstein's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kerry Samuel Goldstein's area of specialization is Mental Health, and the corresponding taxonomy code that categorizes this field of practice is 101Ym0800X.
On what date did the Kerry Samuel Goldstein receive its 1245493626 assignment from the Centers for Medicare & Medicaid Services?
The Kerry Samuel Goldstein was assigned its 1245493626 by the Centers for Medicare & Medicaid Services on 2008-07-07.
When was the Kerry Samuel Goldstein's information last updated?
The Kerry Samuel Goldstein's information was last updated on 2009-08-31.