Provider Demographics
NPI:1538149653
Name:MEADOR, JOSHUA M (DO)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:M
Last Name:MEADOR
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:5940 ULALI DR NE
Mailing Address - Street 2:KAISER FOUNDATION HEALTH PLAN OF NW
Mailing Address - City:KEIZER
Mailing Address - State:OR
Mailing Address - Zip Code:97303-1500
Mailing Address - Country:US
Mailing Address - Phone:503-361-5400
Mailing Address - Fax:
Practice Address - Street 1:5940 ULALI DR NE
Practice Address - Street 2:KAISER FOUNDATION HEALTH PLAN OF NW
Practice Address - City:KEIZER
Practice Address - State:OR
Practice Address - Zip Code:97303-1500
Practice Address - Country:US
Practice Address - Phone:503-361-5400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2022-02-10
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Provider Licenses
StateLicense IDTaxonomies
GA056859207Q00000X
ORDO150938207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine