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Contact Information

JOSHUA G ANDREW, PAC
875 OAK ST SE
SUITE 5020
SALEM, OR97301-3975
 Phone: 503-371-4044
 Fax: 503-371-4356
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JOSHUA G ANDREW · (Male)

NPI # 1245564491
Status Active
Credentials PAC
Entity Individual
Enumeration date 09/21/2009
Last updated 12/21/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • OR License # PA130000
  • OR Medicaid 500612024
Hospital affiliation(s)
  • KAISER SUNNYSIDE MEDICAL CENTER - (Acute Care)
    10180 SE SUNNYSIDE ROAD
    CLACKAMAS, OR 97015
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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