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Terry Goldsworthy, Peer support

Peer Specialist in Roseburg, OR. Individual provider (NPI-1).

NPI number1376996140
StatusActive
Last updated in NPPESJul 18, 2016

Details

NPI
1376996140
Entity type
Individual (NPI-1)
Name
Terry Goldsworthy
Credential
Peer support
Sex
Male
Sole proprietor
No
Enumeration date
Jul 18, 2016
Last updated
Jul 18, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes

Practice location

1600 Nw Garden Valley Blvd
Suite 110
Roseburg, OR 97471-8700

Phone 541-440-3532

Mailing address

1600 Nw Garden Valley Blvd
Suite 110
Roseburg, OR 97471-8700

Phone 541-440-3532

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