Active NPIIndividual provider

Joshua G Andrew, PAC

Physician Assistant, Surgical in Salem, Oregon

NPI Number1245564491
Practice location
875 Oak St SE, Suite 5020, Salem, OR 97301-3975
Fax
503-371-4356
Last updated
December 21, 2021

Joshua G Andrew, PAC is a Physician Assistant, Surgical based in Salem, OR. Joshua G Andrew, PAC holds the professional credentials of PAC. The NPI number for Joshua G Andrew, PAC is 1245564491 and holds license No. PA130000 (OR). The current practice location address is 875 Oak St SE, Suite 5020, Salem, OR 97301-3975 and the office can be reached by phone at 503-371-4044 and by fax at 503-371-4356. The NPI was assigned on September 21, 2009 and the record was last updated in NPPES on December 21, 2021.

●Provider Profile Details

NPI Number
1245564491
Provider Name
Joshua Glenn Andrew
Credential
PAC
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Enumeration Date
September 21, 2009
Last Update Date
December 21, 2021
Certification Date
December 20, 2021
NPI Status
Active

◉Business Practice Location Address

Address
875 Oak St SE
Suite 5020
Salem, OR 97301-3975
City
Salem
State
Oregon
ZIP
97301-3975
Country
US
Phone Number
503-371-4044
Fax Number
503-371-4356

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✉Business Mailing Address

Address
975 SE Sandy Blvd
Suite 201
Portland, OR 97214-1308
City
Portland
State
OR
ZIP
97214-1308
Phone Number
503-236-0775
Fax Number
503-236-0786

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Physician Assistant, Surgical363AS0400XYesPA130000OR

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Joshua G Andrew, PAC?

The NPI number of Joshua G Andrew, PAC is 1245564491. It was assigned on September 21, 2009 and is currently active in the NPPES registry.

What is the specialty of Joshua G Andrew, PAC?

Joshua G Andrew, PAC is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X) and holds license No. PA130000 (OR).

Where does Joshua G Andrew, PAC practice?

The practice location is 875 Oak St SE, Suite 5020, Salem, OR 97301-3975. The office can be reached at 503-371-4044 (phone) or 503-371-4356 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245564491 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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