Individual
JOSEPH MOHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
25 NW 23RD PL, PORTLAND, OR 97210-5580
(503) 305-6262
Mailing address
16100 SW CENTURY DR APT 166, SHERWOOD, OR 97140-6221
(562) 756-0266
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA213685
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/19/2022
Last updated
06/27/2023
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