Individual
JOSHUA KUBISCHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1535 N WILLIAMS AVE, PORTLAND, OR 97227-1885
(503) 238-2067
Mailing address
232 NW 6TH AVENUE, ATTN: CREDENTIALING, PORTLAND, OR 97209
(503) 294-1681
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201808720RN
OR
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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