SARAH GOFORTH

PORTLAND, OR
NPI1679912547
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  02-R-18)
Enumeration Date2013-06-24
Last Update Date2014-07-02
Business Address
-- SARAH GOFORTH
2545 NE FLANDERS ST
PORTLAND, OR 97232-3139
Phone number: 503-235-3546
Mailing Address
-- SARAH GOFORTH
77 S MAIN ST
NEW CITY, NY 10956-3511
Phone number: 845-634-5729
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