Individual provider · Type 1 NPI

Deidre Goldberg, FNP

Nurse Practitioner · Medford, OR

NPI number 1407844525 Active

Practice location

1698 E Mcandrews Rd, Ste 300
Medford, OR 97504-5589

Fax (541) 732-7851

Mailing address

PO Box 3158
Portland, OR 97208-3158

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X82022347 (OR)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1407844525

Deidre Goldberg, FNP's National Provider Identifier is 1407844525, issued on Oct 12, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Medford, OR. The record was last updated on Feb 23, 2015.