Individual
JOSHUA ALEN PANKAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
104 4TH AVE SW, ALBANY, OR 97321-2804
(541) 967-3866
Mailing address
PO BOX 100, ALBANY, OR 97321-0031
(541) 967-3866
(541) 928-9020
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24-04-11098
OR
Other
Enumeration date
10/17/2017
Last updated
09/24/2025
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