Search › Washington › 363AS0400X
Joseph Province, PA
NPI 1558797365 · on the registry since 2013
Practice
- Address
- 200 Ne Mother Joseph Pl Ste 210
Vancouver, WA 98664 - Phone
- (360) 254-6161
- Fax
- (360) 449-1146
- Organisation at this address
- Peacehealth
Cascade Heart Ps
Rebound Physical Therapy
Northwest Surgical Specialists Pc
Northwest Surgical Specialists PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 143
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Also registered as
- 363AS0400X
363AS0400X - Licence states on file
- FL, OR, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-10-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington