Mr Chris Goforth, QMHA is a
Case Manager/care Coordinator based in Portland, Oregon. Mr Chris Goforth is licensed to practice in Oregon (license number 171M00000X) and his current practice location is
1812 Se Main St, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at
(503) 963-8337.
NPI number for Mr Chris Goforth is 1720124225 and his current mailing address is 15606 Se Division St, Portland, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720124225.
Healthcare Provider's Profile
Full Name | Mr Chris Goforth |
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Gender | Male |
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Speciality | Case Manager/care Coordinator |
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Location | 1812 Se Main St, Portland, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720124225
- Provider Enumeration Date: 01/30/2007
- Last Update Date: 07/14/2023
Medical Identifiers
Medical identifiers for Mr Chris Goforth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720124225 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | 171M00000X (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Chris Goforth is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Chris Goforth, QMHA 15606 Se Division St, Portland, OR 97236-2002 Ph: (971) 202-7897 | Mr Chris Goforth, QMHA 1812 Se Main St, Portland, OR 97214-3889 Ph: (503) 963-8337 |
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