Search › Oregon › 171M00000X
Chris Goforth, QMHA
NPI 1720124225 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1812 Se Main St
Portland, OR 97214 - Phone
- (503) 963-8337
- Fax
- (503) 963-8365
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 101YM0800X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon