Individual
DR. JOYCE S ENDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
18380 WILLAMETTE DR, SUITE 202, WEST LINN, OR 97068-1200
(503) 635-8384
(503) 636-6475
Mailing address
18380 WILLAMETTE DR, SUITE 202, WEST LINN, OR 97068-1200
(503) 635-8384
(503) 636-6475
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD17097
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001785001
BLUE CROSS
OR
05
—
025556
—
OR
01
—
97068A003
CHAMPUS
OR
Enumeration date
07/07/2006
Last updated
07/08/2007
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