Individual provider · Type 1 NPI

Stefan Goldberg, MA

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1982125514 Active

Practice location

4310 NE Killingsworth St
Portland, OR 97218-1404

Mailing address

2937 NE 33rd Ave
Portland, OR 97212-3653

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1982125514

Stefan Goldberg, MA's National Provider Identifier is 1982125514, issued on Jul 5, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Jul 5, 2017.