CHARLES SAMUEL GOLDFOOT

PORTLAND, OR
NPI1740888155
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-10-16
Last Update Date2020-10-16
Business Address
CHARLES SAMUEL GOLDFOOT
1650 NW 13TH AVE APT 109
PORTLAND, OR 97209-3694
Phone number: 971-340-6523
Mailing Address
CHARLES SAMUEL GOLDFOOT
1650 NW 13TH AVE APT 109
PORTLAND, OR 97209-3694
Phone number: 971-340-6523