Most Relevant Information
Provider Data
| NPI Number: | 1003013327 |
| Provider Name: | DEANNA GOLD M.A. |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/29/2007 |
| Last Updated: | 07/10/2011 |
Provider Practice Location
847 NE 19TH AVE
SUITE 100
PORTLAND
OR
972322684
Practice Location Phone/Fax
| Phone: | 5038919937 |
| Fax: |
Provider Mailing Location
430 NE 16TH AVE
APT 310
PORTLAND
OR
972322869
Provider Mailing Phone/Fax
| Phone: | 5038919937 |
| Fax: |