Individual
JOSHUA ANDRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 CENTER ST NE, SALEM, OR 97301-2669
(503) 378-5253
Mailing address
320 WILSON ST S, SALEM, OR 97302-4237
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-D-10173254
OR
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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