Provider Demographics
NPI:1578013207
Name:CANTER, JOSHUA CALEB (ND, LAC)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:CALEB
Last Name:CANTER
Suffix:
Gender:M
Credentials:ND, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2305 SE 50TH AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97215-3853
Mailing Address - Country:US
Mailing Address - Phone:503-765-5711
Mailing Address - Fax:971-350-3060
Practice Address - Street 1:2305 SE 50TH AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97215-3853
Practice Address - Country:US
Practice Address - Phone:971-407-3428
Practice Address - Fax:971-703-4735
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-05
Last Update Date:2020-12-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ORAC179284171100000X
OR4024175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist