Goldberg, Andrew Daniel

Goldberg, Andrew Daniel is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd , Portland OR 97239-3011. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Goldberg, Andrew Daniel can be contacted via phone (503) 494-3447.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd Portland OR 97239-3011
Phone: (503) 494-3447
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A107694 California
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 105731 Minnesota
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 54427 Minnesota
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD162199 Oregon
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MD162199 Oregon

Profile Details

NPI number 1932405594
LBN Legal business name Goldberg, Andrew Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2011
Last updated May 18th, 2016 - about 9 years ago

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 1932405594 NPPES
Iowa MEDICAID ENROLLED
Iowa MEDICAID ENROLLED

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