Moriah Gottman
Student in an Organized Health Care Education/Training Program in Portland, OR. Individual provider (NPI-1).
NPI number1497323968
StatusActive
Last updated in NPPESJun 11, 2021
Details
- NPI
- 1497323968
- Entity type
- Individual (NPI-1)
- Name
- Moriah Gottman
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 11, 2021
- Certification date
- Jun 11, 2021
- Last updated
- Jun 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
3181 Sw Sam Jackson Park RdPortland, OR 97239-3098
Phone 206-412-1807
Mailing address
3181 Sw Sam Jackson Park RdPortland, OR 97239-3011
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