Individual
MR. JOSHUA KENJI RAOUL HELLSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
44882 MISSION RD, PENDLETON, OR 97801-9293
(541) 429-0550
Mailing address
17700 SCOTT LN, GLADSTONE, OR 97027-1543
(503) 913-5629
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10022053
OR
Other
Enumeration date
02/16/2024
Last updated
03/08/2024
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