Provider Demographics
NPI:1326303900
Name:GOLDSMITH, CATHY LEE (MED,CADCI)
Entity Type:Individual
Prefix:MR
First Name:CATHY
Middle Name:LEE
Last Name:GOLDSMITH
Suffix:
Gender:F
Credentials:MED,CADCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 4TH STREET
Mailing Address - Street 2:
Mailing Address - City:FOSSIL
Mailing Address - State:OR
Mailing Address - Zip Code:97830
Mailing Address - Country:US
Mailing Address - Phone:541-763-2746
Mailing Address - Fax:
Practice Address - Street 1:401 4TH STREET
Practice Address - Street 2:
Practice Address - City:FOSSIL
Practice Address - State:OR
Practice Address - Zip Code:97830
Practice Address - Country:US
Practice Address - Phone:541-763-2746
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-10
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)