Individual
MR. JOEL ALAN HUMPHREYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 PEAR ST, OAKLAND, OR 97462-3002
(541) 459-3116
Mailing address
PO BOX 262, OAKLAND, OR 97462-0262
(541) 459-3116
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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