NPI 1053199588

Goshen Land Clinic LLC

Organisation Community/Behavioral Health Agency Portland, OR

Practice location

Address: 2005 SE 82nd Ave STE 6, Portland, OR 97216-1453
Phone: (971) 266-4184

Authorised official

Name: Stephen Iwuozo
Title: Administrator
Phone: (615) 761-6810

Registered specialties (2)

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Oregon →

Mental Health Clinic/Center (Including Community Mental Health Center)

Ambulatory Health Care Facilities Taxonomy 261QM0801X

Other Clinic/Center providers in Oregon →

Registry record

NPI: 1053199588
Entity type: Organization
NPI issued: 18 Sep 2023
Record last updated: 18 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.