| Goforth Inspired Llc | |
|
345 Ne Baker Creek Rd Mcminnville OR 97128-2019 | |
| (971) 241-9275 | |
| Not Available |
| Full Name | Goforth Inspired Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 345 Ne Baker Creek Rd, Mcminnville, Oregon |
| Authorized Official Name and Position | John P Goforth (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5038570394 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goforth Inspired Llc Po Box 1171 Mcminnville OR 97128-1171 Ph: () - | Goforth Inspired Llc 345 Ne Baker Creek Rd Mcminnville OR 97128-2019 Ph: (971) 241-9275 |
| NPI Number | 1194150326 |
|---|---|
| Provider Enumeration Date | 09/06/2013 |
| Last Update Date | 12/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194150326 | NPI | - | NPPES |
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