Provider Demographics
NPI:1851383715
Name:GOLDRING, MAUREEN B (MD)
Entity Type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:B
Last Name:GOLDRING
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2222 NW LOVEJOY ST
Mailing Address - Street 2:SUITE 606
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97210-3033
Mailing Address - Country:US
Mailing Address - Phone:503-229-7554
Mailing Address - Fax:503-229-7287
Practice Address - Street 1:2222 NW LOVEJOY ST
Practice Address - Street 2:SUITE 606
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97210-3033
Practice Address - Country:US
Practice Address - Phone:503-219-8556
Practice Address - Fax:503-248-4733
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2015-10-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ORND20501207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR150138Medicaid
ORR00WCPDWJMedicare PIN
OR150138Medicaid
OR150138Medicaid