Raymond Goss
Counselor, Addiction (Substance Use Disorder) in Portland, OR. Individual provider (NPI-1).
NPI number1609025477
StatusActive
Last updated in NPPESSep 16, 2008
Details
- NPI
- 1609025477
- Entity type
- Individual (NPI-1)
- Name
- Raymond Goss
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 16, 2008
- Last updated
- Sep 16, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
| 372600000X | Adult Companion | – | – |
Practice location
847 Ne 19th AveSuite 100
Portland, OR 97232-2684
Phone 503-552-6203 · Fax 503-552-6208
Mailing address
847 Ne 19th AveSuite 100
Portland, OR 97232-2684
Phone 503-552-6203 · Fax 503-552-6208
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