Individual
MR. JOSHUA KLINGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
185 13TH ST NE, SALEM, OR 97301-4116
(503) 881-9157
(503) 362-3939
Mailing address
185 13TH ST NE, SALEM, OR 97301-4116
(503) 881-9157
(503) 362-3939
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
78412
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
78412
DPSST PL-ID#
OR
Enumeration date
01/08/2018
Last updated
01/08/2018
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