Individual
JOSHUA EATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9300 NE OAK VIEW DR, SUITE B, VANCOUVER, WA 98662-6192
(360) 567-2211
Mailing address
5929 NE 55TH AVE, PORTLAND, OR 97218-2301
(503) 320-8445
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104100000X
—
WA
Enumeration date
05/03/2016
Last updated
05/03/2016
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