CHARLES SAMUEL GOLDFOOT
Student in an Organized Health Care Education/Training Program

Address: 1650 Nw 13th Ave Apt 109, Portland, OR 97209-3694

CHARLES SAMUEL GOLDFOOT (NPI# 1740888155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740888155
Entity Type Individual
Full Name CHARLES SAMUEL GOLDFOOT
Gender Male
Practice Address 1650 Nw 13th Ave Apt 109
Portland
OR 97209-3694
Practice Telephone 9713406523
Mailing Address 1650 Nw 13th Ave Apt 109
Portland
OR 97209-3694
Mailing Telephone 9713406523
Certification Date 2020-10-16
Enumeration Date 2020-10-16
Last Update Date 2020-10-16
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 1650 NW 13TH AVE APT 109
City PORTLAND
State OR
Zip Code 97209-3694

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1508476250 Harrington Health Clinic Nurse Practitioner - Family 310 Nw Glisan Street, Portland, OR 97209 2020-08-07
1619599636 Rivers Way Training Clinic Community/Behavioral Health 2049 Nw Hoyt, Portland, OR 97209 2020-05-13
1518590538 Julie Kay Igarta · Julie Kay Tobey Registered Nurse - Registered Nurse First Assistant 140 Northwest 14th Avenue, Portland, OR 97209 2020-02-18
1407492002 Oregon Injection Clinic Clinic/Center - Health Service 1500 Nw Lovejoy, 106, Portland, OR 97209 2019-11-19
1487202883 Ann Tesora Massage Therapist 1320 Northwest 20th Avenue, Portland, OR 97209 2019-08-28
1972160455 Vincent Martin Massage Therapist 210 Sw 17th Avenue, Portland, OR 97209 2019-05-21
1154896546 Jennifer Marie Dodd Social Worker - Clinical 1722 Nw Raleigh St Spc 412, Portland, OR 97209 2018-10-11
1073139713 Andrew J Hughes Md Clinic/Center - Adult Mental Health 325 Nw 21st Ave Ste 100, Portland, OR 97209-1179 2020-06-18
1881212272 Emily Ryder Dietitian, Registered 624 Nw 20th Ave Apt 1, Portland, OR 97209-1219 2020-07-11
1093271793 Ayako Fujisaki Counselor - Mental Health 2049 Nw Hoyt St, Portland, OR 97209-1260 2019-02-18
Find all providers in zip 97209

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780263558 Amanda Graveson Student in an Organized Health Care Education/Training Program 900 Nw Lovejoy St Apt 1010, Portland, OR 97209-3483 2021-04-07
1730768938 Evnica I Korotkikh Student in an Organized Health Care Education/Training Program 6428 Se Jennings Ave, Portland, OR 97267-6317 2021-04-05
1063090942 Mark Scurrah Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 2021-03-31
1407433774 Facundo Gregorio Sanchez Student in an Organized Health Care Education/Training Program 1829 Nw Lovejoy St Unit 212, Portland, OR 97209-1523 2021-03-24
1245816727 Robert Samuel Diaz Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Rd L-579, Portland, OR 97239 2021-03-23
1023694866 Claire Mccord Conrad Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Rd # L-579, Portland, OR 97239-3098 2021-03-22
1831775527 Douglas Alexander Preston Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Rd Apt 12, Portland, OR 97239-3079 2021-03-22
1114512332 Diana Karen Lujan Valerio Student in an Organized Health Care Education/Training Program 5415 Sw Westgate Dr, Portland, OR 97221-2409 2021-03-09
1073102869 Brian Michael Thatcher Student in an Organized Health Care Education/Training Program Lifeworks Northwest, 14600 Nw Cornell Road, Portland, OR 97229-5442 2021-01-15
1760079503 Nicolas Robert Fenton Student in an Organized Health Care Education/Training Program 198 Concord St, Portland, ME 04103-3102 2020-12-28
Find all providers in PORTLAND

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City PORTLAND
Zip Code 97209

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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