JOSHUA GLENN ANDREW PAC NPI 1245564491

NPI Information

Joshua Glenn Andrew, PAC is a surgical physician assistant in Salem, OR with 15 years of experience. Joshua Glenn Andrew, PAC NPI is 1245564491. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: DUKE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2009

The provider's business location address is:

875 OAK ST SE
SUITE 5020
SALEM, OR
ZIP 97301-975
Phone: (503) 371-4044
Fax: (503) 371-4356

The NPI 1245564491 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/21/2009 and was last updated on 12/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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