JOSHUA THOMAS SAMPLE

PORTLAND, OR
NPI1952114217
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2025-01-30
Last Update Date2025-01-30
Business Address
JOSHUA THOMAS SAMPLE
7405 SE 84TH AVE
PORTLAND, OR 97266-5840
Phone number: 503-771-1645
Mailing Address
JOSHUA THOMAS SAMPLE
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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