Dr Jay Carl Goldstein, DPM | |
2222 Nw Lovejoy St, #510, Portland, OR 97210-3033 | |
(503) 221-1581 | |
(503) 221-1582 |
Full Name | Dr Jay Carl Goldstein |
---|---|
Gender | Male |
Speciality | Podiatrist |
Location | 2222 Nw Lovejoy St, Portland, Oregon |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831291319 | NPI | - | NPPES |
15499-7 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | DP00107 (Oregon) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Jay Carl Goldstein, DPM 2222 Nw Lovejoy St, #510, Portland, OR 97210-3033 Ph: (503) 221-1581 | Dr Jay Carl Goldstein, DPM 2222 Nw Lovejoy St, #510, Portland, OR 97210-3033 Ph: (503) 221-1581 |
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