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MR. SAMUEL GOLDBERG
NPI 1063140721
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since August 10, 2022
32 NE 11TH AVE, PORTLAND, OR 97232(503) 542-7635 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Samuel Goldberg NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SAMUEL GOLDBERG (NPI 1063140721) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1063140721
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. SAMUEL GOLDBERG
Location Address32 NE 11TH AVEPortland, OR 97232-3001
Mailing Address390 E Main St Apt 302Hillsboro, OR 97123-4037 · (614) 940-8613
Phone(503) 542-7635
Sole ProprietorNo
Enumeration DateAugust 10, 2022
NPPES CertifiedAugust 10, 2022
✔ NPI 1063140721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
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.
32 NE 11TH AVE, Portland, OR 97232
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NW ANXIETY INSTITUTE, LLC
Counselor (Mental Health)
32 NE 11TH AVE
PORTLAND, OR 97232
Multnomah County (503) 542-7635
JULIE ANNA KELLY
Counselor (Professional)
32 NE 11TH AVE
PORTLAND, OR 97232
Multnomah County (503) 542-7635
AMY OLSON
Counselor (Mental Health)
32 NE 11TH AVE
PORTLAND, OR 97232
Multnomah County (503) 542-7635
AMY M SHORE BS
Student in an Organized Health Care Education/Training Program
32 NE 11TH AVE
PORTLAND, OR 97232
Multnomah County (503) 542-7635
MAGGIE ROSE DAVIDSON
Student in an Organized Health Care Education/Training Program
32 NE 11TH AVE
PORTLAND, OR 97232
Multnomah County (503) 542-7635
ALEXANDER NAPOLES
Student in an Organized Health Care Education/Training Program
32 NE 11TH AVE
PORTLAND, OR 97232
Multnomah County (503) 542-7635
LESLEY ANN NELSON
Student in an Organized Health Care Education/Training Program
32 NE 11TH AVE
PORTLAND, OR 97232
Multnomah County (503) 542-7635
ALLISON D BONIFAY MA, LPC
Counselor (Professional)
32 NE 11TH AVE
PORTLAND, OR 97232
Multnomah County (503) 542-7635

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Goldberg's NPI number?

The NPI number for Samuel Goldberg is 1063140721. It was assigned to this individual provider in the NPPES registry on August 10, 2022.

Where is Samuel Goldberg located?

Samuel Goldberg practices at 32 NE 11th Ave, Portland, OR 97232. The listed phone number is (503) 542-7635.

What is Samuel Goldberg's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Samuel Goldberg was last updated on August 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.