NPI 1104657188

Xoe Joy Blue

Practitioner Other Technician Portland, OR

Practice location

Address: 2928 SE Hawthorne Blvd, Portland, OR 97214-4147
Phone: (503) 504-2914

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence BAP-E-10245493 (OR)

Other Technician, Other providers in Oregon →

Registry record

NPI: 1104657188
Entity type: Individual
Sex (as registered): X
NPI issued: 12 Aug 2024
Record last updated: 12 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.