Healthcare Provider Details

I. General information

NPI: 1437215886
Provider Name (Legal Business Name): JOSHUA GARREN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2006
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1713 SW 24TH ST
PENDLETON OR
97801-4330
US

IV. Provider business mailing address

PO BOX 35145
SEATTLE WA
98124-5145
US

V. Phone/Fax

Practice location:
  • Phone: 541-304-2264
  • Fax: 541-304-2275
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberMD228657
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: