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KERRY SAMUEL GOLDSTEIN M.A.
NPI 1245493626
Counselor - Mental Health in Portland, OR

Active since July 07, 2008
320 SW STARK ST STE 402, PORTLAND, OR 97204(503) 267-3607 Get Directions Write a Review

NPPES record last updated: August 31, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kerry Samuel Goldstein M.a. NPPES

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

KERRY SAMUEL GOLDSTEIN M.A. (NPI 1245493626) is an individual mental health provider in Portland, Oregon and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1245493626
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKERRY SAMUEL GOLDSTEINCredential: M.A.
Location Address320 SW STARK ST STE 402Portland, OR 97204-2626
Mailing Address320 Sw Stark St Ste 402Portland, OR 97204-2626 · (503) 267-3607
Phone(503) 267-3607
Sole ProprietorYes
Enumeration DateJuly 7, 2008
Last NPPES UpdateAugust 31, 2009
✔ NPI 1245493626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
320 SW STARK ST STE 402, Portland, OR 97204
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Other Identifiers 1

Medicaid123190OR

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 Kerry Goldstein's NPI number?

The NPI number for Kerry Goldstein is 1245493626. It was assigned to this individual provider in the NPPES registry on July 7, 2008.

Where is Kerry Goldstein located?

Kerry Goldstein practices at 320 SW Stark St Ste 402, Portland, OR 97204. The listed phone number is (503) 267-3607.

What is Kerry Goldstein's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kerry Goldstein was last updated on August 31, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.