Individual
JOSHUA A BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
10300 SW EASTRIDGE ST, PORTLAND, OR 97225-5004
(503) 944-5000
Mailing address
8920 SW OAK ST APT 100, TIGARD, OR 97223-6580
(503) 573-9958
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
10041601
OR
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/11/2020
Last updated
04/17/2026
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