Search › Oregon › 1835P0018X
Joshua Petrisor
NPI 1649867227 · on the registry since 2020 · sole proprietor
Practice
- Address
- 7700 Sw Beaverton Hillsdale Hwy
Portland, OR 97225 - Phone
- (503) 203-4033
- Organisation at this address
- Fred Meyer Stores Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Additional practice sites
- 8145 Se 17th Ave, Portland, OR
Registry record
- Primary taxonomy
- 1835P0018X
1835P0018X
- Also registered as
- 183500000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-02-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon