Provider Demographics
NPI:1578152435
Name:FAGHIHI, GOLDIS (ND, DC)
Entity Type:Individual
Prefix:
First Name:GOLDIS
Middle Name:
Last Name:FAGHIHI
Suffix:
Gender:F
Credentials:ND, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6900 SW ATLANTA ST STE 120
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97223-2519
Mailing Address - Country:US
Mailing Address - Phone:971-319-4636
Mailing Address - Fax:
Practice Address - Street 1:6900 SW ATLANTA ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97223-2513
Practice Address - Country:US
Practice Address - Phone:713-194-6369
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-14
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty