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:
Health care specialties
| Specialty | Code | License # | 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 18 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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