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1245564491
JOSHUA GLENN ANDREW
SALEM, OR
NPI
1245564491
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: OR PA130000)
Enumeration Date
2009-09-21
Last Update Date
2021-12-21
Business Address
JOSHUA GLENN ANDREW PAC
875 OAK ST SE SUITE 5020
SALEM, OR 97301-3975
Phone number: 503-371-4044
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Mailing Address
JOSHUA GLENN ANDREW PAC
975 SE SANDY BLVD SUITE 201
PORTLAND, OR 97214-1308
Phone number: 503-236-0775
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