Goerl, Alison J

Goerl, Alison J is an individual health care provider with primary practice located at 703 Ne Hancock St , Portland OR 97212-3955. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Goerl, Alison J can be contacted via phone (503) 230-9875.

Contact Information

Primary practice address
703 Ne Hancock St Portland OR 97212-3955
Phone: (503) 230-9875
Fax: (503) 331-3441
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LD-D-000616 Oregon

Profile Details

NPI number 1659362119
LBN Legal business name Goerl, Alison J
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Sep 18th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659362119 NPPES
Washington MEDICAID 2106596
Washington MEDICAID 500641933

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