JOSHUA GLENN ANDREW PAC
Individual Provider (NPI-1)
Active
Physician Assistant, Surgical
Provider Information
- NPI Number
1245564491- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PAC
- Status
- Active
Contact & Location
- Address
- 875 OAK ST SE SUITE 5020, SALEM, OR, 973013975
- Phone
- (503) 371-4044
- Fax
- (503) 371-4356
Specialties & Taxonomies
Physician Assistant, Surgical
Primary License: OR #PA130000