Gould, Bethany

Gould, Bethany is an individual health care provider with primary practice located at 609 Ne Baker St Ste 260 , Mcminnville OR 97128-4950. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gould, Bethany can be contacted via phone (971) 213-5025.

Contact Information

Primary practice address
609 Ne Baker St Ste 260 Mcminnville OR 97128-4950
Phone: (971) 213-5025
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X L8458 Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1629522933
LBN Legal business name Gould, Bethany
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2016
Last updated Jun 5th, 2026 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629522933 NPPES
Oregon MEDICAID 500712909

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