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1225634439
JOSHUA A BACA
PORTLAND, OR
NPI
1225634439
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-12-11
Last Update Date
2020-12-11
Business Address
JOSHUA A BACA
959 NE 165TH AVE
PORTLAND, OR 97230-6148
Phone number: 503-408-8100
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Mailing Address
JOSHUA A BACA
5 NE TANDEM WAY APT 211
HILLSBORO, OR 97124-2286
Phone number: 503-573-9958
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