Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | MD16556 | OR |
Y | 111NI0900X | Internist | MD16556 | OR |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | MD16556 | OR |
NPI | 1023129913 |
---|---|
Provider Name | Dr. Rick N Goldstein |
First Address | Newport, OR 97365-5240 |
Second Address | Newport, OR 97365-5240 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 01/08/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00469987 | RAILROAD MEDICARE (01) | OR |
013677 | (05) | OR |
E61874 | (02) | OR |