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NPI Code Detail

MEDICARE: DR. GOLDIS FAGHIHI ND, DC

MEDICARE: DR. GOLDIS FAGHIHI ND, DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175F00000XNaturopath

General Provider Information

NPI Number : 1578152435
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GOLDIS FAGHIHI ND, DC
Provider Business Mailing Address
First Line : 3735 SE DIVISION ST
Second Line :
City : PORTLAND
State : OR
Zip : 97202-1547
Country : US
Telephone Number : 503-210-8353
Fax Number : 503-210-8353
Provider Business Practice Location Address
First Line : 3735 SE DIVISION ST
Second Line :
City : PORTLAND
State : OR
Zip : 97202-1547
Country : US
Telephone Number : 503-210-8353
Fax Number : 503-210-8353
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2021
Last Update Date : 12/18/2025

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