DR. KENNETH CHARLES GOLDBERG MD
NPI 1457669673
Preventive Medicine - Public Health & General Preventive Medicine in Portland, OR

Active since September 22, 2010
407 NE 12TH AVE, STE 200, PORTLAND, OR 97232(503) 280-0880(503) 232-7440 Get Directions Write a Review

NPPES record last updated: September 22, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kenneth Charles Goldberg Md NPPES

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

DR. KENNETH CHARLES GOLDBERG MD (NPI 1457669673) is an individual public health & general preventive medicine provider in Portland, Oregon, licensed in Oregon (MD16086) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1457669673
Entity TypeIndividualMale
Primary Taxonomy2083P0901X
Provider Legal NameDR. KENNETH CHARLES GOLDBERGCredential: MD
Location Address407 NE 12TH AVE, STE 200Portland, OR 97232
Mailing Address407 Ne 12th Ave, Ste 200Portland, OR 97232 · (503) 280-0880 · Fax (503) 232-7440
Fax(503) 232-7440
Sole ProprietorYes
Enumeration DateSeptember 22, 2010
NPI 1457669673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreventive Medicine · Public Health & General Preventive MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0901X
License Licensed in OR · MD16086
Definition
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
407 NE 12TH AVE, Portland, OR 97232

Other Providers at the Same Location NPPES 6

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

Counselor (Mental Health)
407 NE 12TH AVE, SUITE 207
PORTLAND, OR 97232
Psychoanalyst
407 NE 12TH AVE, SUITE 101
PORTLAND, OR 97232
Clinic/Center (Physical Therapy)
407 NE 12TH AVE, SUITE 102
PORTLAND, OR 97232
Chiropractor
407 NE 12TH AVE, STE. 203
PORTLAND, OR 97232
Naturopath
407 NE 12TH AVE, SUITE 100
PORTLAND, OR 97232
Counselor (Professional)
407 NE 12TH AVE, #201
PORTLAND, OR 97232

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 Kenneth Goldberg's NPI number?

The NPI number for Kenneth Goldberg is 1457669673. It was assigned to this individual provider in the NPPES registry on September 22, 2010.

Where is Kenneth Goldberg located?

Kenneth Goldberg practices at 407 NE 12th Ave Ste 200, Portland, OR 97232. The listed phone number is (503) 280-0880.

What is Kenneth Goldberg's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

When was this NPI record last updated?

The NPPES record for Kenneth Goldberg was last updated on September 22, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.