Goldberg, Athena Wind

Goldberg, Athena Wind is an individual health care provider with primary practice located at 18 Myrtle St Suite 102, Medford OR 97504-7471. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Goldberg, Athena Wind can be contacted via phone (541) 245-5577.

Contact Information

Primary practice address
18 Myrtle St Suite 102 Medford OR 97504-7471
Phone: (541) 245-5577
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X L3576 Oregon

Profile Details

NPI number 1679554463
LBN Legal business name Goldberg, Athena Wind
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Jul 8th, 2007 - about 17 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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