Individual
JOSHUA SAMUEL ENJATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16535 SW TUALATIN VALLEY HWY, BEAVERTON, OR 97003-5143
(503) 649-5651
Mailing address
2319 SE 61ST LN, HILLSBORO, OR 97123-2939
(509) 990-2693
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R11066
OR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/13/2023
Last updated
03/18/2026
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