Stefan Goldberg, MA
Counselor, Addiction (Substance Use Disorder) in Portland, OR. Individual provider (NPI-1).
NPI number1982125514
StatusActive
Last updated in NPPESJul 5, 2017
Details
- NPI
- 1982125514
- Entity type
- Individual (NPI-1)
- Name
- Stefan Goldberg
- Credential
- MA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 5, 2017
- Last updated
- Jul 5, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
4310 Ne Killingsworth StPortland, OR 97218-1404
Phone 503-535-1181
Mailing address
2937 Ne 33rd AvePortland, OR 97212-3653
Phone 510-499-4503
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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