Organization
JOSEPH MEDICAL
Active
Organization
JOSEPH MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAWNA L JOSEPH (OWNER)
(971) 322-7737
Entity
Organization
Contact information
Practice address
348 NE 219TH AVE, GRESHAM, OR 97030-8419
(971) 322-7737
Mailing address
348 NE 219TH AVE, GRESHAM, OR 97030-8419
(971) 322-7737
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699128025
INDIVIDUAL NPI
OR
Enumeration date
11/14/2016
Last updated
11/14/2016
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