Joshua Andre
Dietitian, Registered in Salem, OR. Individual provider (NPI-1).
NPI number1437782893
StatusActive
Last updated in NPPESFeb 13, 2020
Details
- NPI
- 1437782893
- Entity type
- Individual (NPI-1)
- Name
- Joshua Andre
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 13, 2020
- Certification date
- Feb 13, 2020
- Last updated
- Feb 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | LD-D-10173254 | OR | Yes |
Practice location
2600 Center St NeSalem, OR 97301-2669
Phone 503-378-5253
Mailing address
320 Wilson St SSalem, OR 97302-4237
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