Andrea Gough-Goldman
Family Doctor - Addiction Medicine
1030 Ne Couch St
Portland
, Oregon 97232-3067
Andrea Gough-Goldman
Family Doctor - Addiction Medicine
1030 Ne Couch St
Portland
, Oregon 97232-3067
(503) 239-8407
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About
Features
Specialties
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Andrea Gough-Goldman
- 1027 E Burnside St
- Portland, OR
- Zip : 97214-1328
- Fax : (503) 239-8407
- Phone : (503) 239-8400
Second Address
- Andrea Gough-Goldman
- 1030 Ne Couch St
- Portland, OR
- Zip : 97232-3067
- Phone : (503) 239-8400
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What type of doctor is Andrea Gough-Goldman
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Is Andrea Gough-Goldman a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0401X | Family Doctor - Addiction Medicine | MD172073 | OR |
National Provider Identifier
| NPI | 1013273861 |
|---|---|
| Provider Name | Andrea Gough-Goldman |
| First Address | Portland, OR 97214-1328 |
| Second Address | Portland, OR 97232-3067 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/04/2012 |
| Last Update Date | 14/02/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.