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Contact Information

JAY C GOLDSTEIN, DPM
2222 NW LOVEJOY ST
#510
PORTLAND, OR97210-3033
 Phone: 503-221-1581
 Fax: 503-221-1582
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JAY C GOLDSTEIN · (Male)

NPI # 1831291319
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 09/03/2006
Last updated 10/25/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # DP00107
  • OR Medicaid 15499-7
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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