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1083057111
JOSHUA ANDREW LATHAN
PORTLAND, OR
NPI
1083057111
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2013-04-08
Last Update Date
2013-04-24
Business Address
-- JOSHUA ANDREW LATHAN
3034 NE MLK BLVD
PORTLAND, OR 97212-3053
Phone number: 503-283-3763
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Mailing Address
-- JOSHUA ANDREW LATHAN
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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