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Goshen Land Clinic LLC — NPI 1053199588, Portland, OR | NPI Central

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Goshen Land Clinic LLC

NPI 1053199588 · Community/Behavioral Health Agency · Portland, OR

Provider details

NPI number: 1053199588
Entity type: Organization
Primary specialty: Community/Behavioral Health AgencyAgencies
Organization subpart: No
Authorized official: Stephen Iwuozo, Administrator(615) 761-6810

Specialties & taxonomies

Community/Behavioral Health AgencyPrimary251S00000X
Agencies
Mental Health Clinic/Center (Including Community Mental Health Center)261QM0801X
Ambulatory Health Care Facilities

Practice location

2005 Se 82nd Ave Ste 6

Portland, OR 97216-1453

Phone: (971) 266-4184

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

2005 Se 82nd Ave Ste 6

Portland, OR 97216-1453

Registry dates

Enumerated: 2023-09-18
Last updated: 2023-09-18
Certified: 2023-09-16

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.