Individual
JOSHUA COKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2469 23RD AVE NW, ALBANY, OR 97321-1692
(254) 217-1172
Mailing address
2914 NW ESSEX AVE, ALBANY, OR 97321-9231
(541) 250-0215
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
RBT-23-284606
OR
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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