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Contact Information

KENNETH C GOLDBERG, MD
407 NE 12TH AVE
STE 200
PORTLAND, OR97232
 Phone: 503-280-0880
 Fax: 503-232-7440
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Public Health & General Preventive Medicine

2083P0901X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for KENNETH C GOLDBERG · (Male)

NPI Number 1457669673
Status Active
Credentials MD
Entity Individual
Enumeration date 09/22/2010
Last updated 09/22/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # MD16086
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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