Provider Demographics
NPI:1649724063
Name:JOSLIN, BARBARA (EPDH)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:JOSLIN
Suffix:
Gender:F
Credentials:EPDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3615 EVERGREEN AVE
Mailing Address - Street 2:
Mailing Address - City:DEPOE BAY
Mailing Address - State:OR
Mailing Address - Zip Code:97341-9812
Mailing Address - Country:US
Mailing Address - Phone:503-702-0000
Mailing Address - Fax:
Practice Address - Street 1:3615 EVERGREEN AVE
Practice Address - Street 2:
Practice Address - City:DEPOE BAY
Practice Address - State:OR
Practice Address - Zip Code:97341-9812
Practice Address - Country:US
Practice Address - Phone:503-702-0000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-15
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORH3938124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist