JOSHUA SAMUEL ENJATI

BEAVERTON, OR
NPI1740969070
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-07-13
Last Update Date2023-07-13
Business Address
JOSHUA SAMUEL ENJATI
16535 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97003-5143
Phone number: 503-649-5651
Mailing Address
JOSHUA SAMUEL ENJATI
1150 NE 91ST AVE APT 406
HILLSBORO, OR 97006-7515
Phone number: 509-990-2693