Goldberg, Deidre

Goldberg, Deidre is an individual health care provider with primary practice located at 1698 E Mcandrews Rd Ste 300, Medford OR 97504-5589. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Goldberg, Deidre can be contacted via phone (541) 732-7850.

Contact Information

Primary practice address
1698 E Mcandrews Rd Ste 300 Medford OR 97504-5589
Fax: (541) 732-7851
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 82022347 Oregon

Profile Details

NPI number 1407844525
LBN Legal business name Goldberg, Deidre
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Feb 23rd, 2015 - about 10 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 1407844525 NPPES
Oregon MEDICAID 009238

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