Goforth Inspired LLC
NPI #1194150326 in Mcminnville, Oregon
Provider Information
- NPI Number
- 1194150326
- Entity Type
- Organization
- Organization Name
- Goforth Inspired LLC
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Sep 6, 2013
- Last Updated
- Dec 2, 2016
Practice Location
- Address
- 345 NE BAKER CREEK RD
- City
- Mcminnville
- State
- Oregon
- ZIP Code
- 97128-2019
- Phone
- (971) 241-9275
Authorized Official
- Name
- JOHN P GOFORTH
- Title
- EXECUTIVE DIRECTOR
- Phone
- (503) 857-0394
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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| Stephen Muschetto | |
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| Christian W Emmingham | |
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| MR. Joel Brian Friedrich, PSS |
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