Individual
JOSHUA MICHAEL CLEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, PMHNP-BC
Contact information
Practice address
1225 NE 2ND AVE, PORTLAND, OR 97232-2003
(971) 678-5844
Mailing address
6676 SE MONROE ST, MILWAUKIE, OR 97222-2306
(971) 678-5844
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
201506676
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10006741
OR
Other
Enumeration date
11/11/2019
Last updated
05/24/2023
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