Individual
JOSHUA DEAN DILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1001 N PROVIDENCE DR, NEWBERG, OR 97132-7485
(503) 537-1555
Mailing address
5108 E LONGEST DR, NEWBERG, OR 97132-4030
(503) 310-6248
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
201500156CRNA-PP
OR
Other
Enumeration date
09/19/2012
Last updated
10/20/2021
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