Individual
DR. JOSHUA HARRISON SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4191 SW 53RD ST, CORVALLIS, OR 97333-9317
(859) 699-2237
Mailing address
4191 SW 53RD ST, CORVALLIS, OR 97333-9317
(859) 699-2237
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R0783
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64103401
—
KY
Enumeration date
06/23/2006
Last updated
01/18/2011
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