Individual
JOSHUA GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
THW
Contact information
Practice address
139 VILLAGE EAST WAY SE, SALEM, OR 97317-7502
(971) 375-8145
Mailing address
139 VILLAGE EAST WAY SE, SALEM, OR 97317-7502
(971) 375-8145
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW000003583
OR
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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